CENTRO DE SALUD MENTAL DE SAN PATRICIO (NPI# 1235124843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235124843 |
| Entity Type | Organization |
| Organization Name | CENTRO DE SALUD MENTAL DE SAN PATRICIO |
| Practice Address |
Ave De Diego Calle Ca�ada Puerto Nuevo San Juan PR 00922 |
| Mailing Address |
Po Box 21485 San Juan PR 00928-1485 |
| Practice Telephone | 7877664646 |
| Practice Fax Number | 7877632344 |
| Mailing Telephone | 7877664646 |
| Mailing Fax Number | 7877632344 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. CARLOS ELIAS LUGO (DIRECTOR) |
| Authorized Official Telephone | 7877664640 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
12 | PR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | AMPR | 1019-5 | 01 |
| PR | SSS | 82727 | 01 |
| PR | GOLDEN CROSS | 660405216-08 | 01 |
| PR | PREFERRED HEALTH | 222032 | 01 |
| PR | MCS | 660433481-001 | 01 |
| PR | CRUZ AZUL | 69553 | 01 |
| Street Address |
AVE DE DIEGO CALLE CA�ADA PUERTO NUEVO |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407383318 | Hector Teodoro Rondon | Student in an Organized Health Care Education/Training Program | 2116 Monacillo St, University District Hospital Puerto Rico Medical Center, San Juan, PR 00922 | 2017-05-23 |
| 1104373984 | Medical Transportation Services LLC | Taxi | 1503 Ave Rosevelt, Esq Escorial, San Juan, PR 00922 | 2016-09-08 |
| 1174078778 | Walgreen Co | Durable Medical Equipment & Medical Supplies | Carretera Estatal Pr2 Km 101.0, Quebradillas, PR 00922 | 2016-08-24 |
| 1447629209 | Glorimar Agosto | Social Worker | 342 San Luis, Edif. Newport Iv, San Juan, PR 00922 | 2015-09-22 |
| 1588041263 | Manuel Alexis Rodriguez Perez | Orthopaedic Surgery | Udh Puerto Rico Medical Center, Bo Monacillos, San Juan, PR 00922 | 2015-05-01 |
| 1669868337 | Nesyali Rolon | Specialist/Technologist | 826 Avenida San Patricio Local 1, Urbanizacion Las Lomas, San Juan, PR 00922 | 2015-04-09 |
| 1356737316 | Elaine Marie Rodriguez | Specialist/Technologist | 824 Avenida San Patricio, Local 1 Urbanizacion Las Lomas, San Juan, PR 00922 | 2015-04-07 |
| 1821490053 | Joraida Nieves | Speech-Language Pathologist | Crr19 Km 0.6, Bo Monacillo, San Juan, PR 00922 | 2014-09-18 |
| 1306247812 | Mario Augusto Corona | Student in an Organized Health Care Education/Training Program | University District Hospital, Puerto Rico Medicalcenter, B.o. Monacillos, San Juan, PR 00922 | 2014-09-16 |
| 1609200575 | Thais Bermudez | Chiropractor | 490 Calle Sirio Esquina Perseo, San Juan, PR 00922 | 2013-08-28 |
| Find all providers in zip 00922 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497177372 | Servicios Psicologicos LLC | Clinic/Center | Rio Piedras Heights - Tinto St. 1733, San Juan, PR 00926-0000 | 2014-01-13 |
| 1518309848 | Municipio De San Juan | Clinic/Center | Calle Serra 900, Gualberto Rabell, San Juan, PR 00907 | 2013-07-29 |
| 1386946176 | Inaya Psychiatric Medical Group | Clinic/Center | Via Cumbres Street Urb La Vista, G 11, San Juan, PR 00924 | 2010-11-30 |
| 1588990600 | Dr. Padro & Asociados Inc. | Clinic/Center | 1616 Ave Ponce De Leon Ste 2, Santurce, San Juan, PR 00909-1845 | 2009-10-23 |
| 1154532505 | Servicios Psiquiatricos Dr. Ricardo Diez Delgado, Csp | Clinic/Center | 124 Winston Churchill Esq. Parana, Piso 2, Ofic. 5, San Juan, PR 00936-3603 | 2007-05-25 |
| 1992895379 | Inspira Psychiatric Services Psc | Clinic/Center | Torre Auxilio Mutuo Suite 410, San Juan, PR 00917 | 2006-10-13 |
| 1386114148 | Anxietyworks Pllc | Clinic/Center | 220 Calle Manuel Domenech # 2049, San Juan, PR 00918-3533 | 2018-12-04 |
| 1023516317 | Inspira Behavioral Care Corp. | Clinic/Center | 431 Ave Hostos, San Juan, PR 00918-3014 | 2018-02-01 |
| 1295240281 | Inspira Behavioral Care Corp. | Clinic/Center | 431 Ave Hostos, San Juan, PR 00918-3014 | 2017-12-12 |
| 1386196202 | Restorative Health and Wellness Institute, LLC | Clinic/Center | 301 Calle Recinto S, Suite 204, San Juan, PR 00901-1960 | 2016-10-26 |
| Find all providers in SAN JUAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.