FUNDACION MODESTO GOTAY PRO PERSONAS CON DISCAPACIDAD INTELECTUAL Y DE (NPI# 1235580143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235580143 |
| Entity Type | Organization |
| Organization Name | FUNDACION MODESTO GOTAY PRO PERSONAS CON DISCAPACIDAD INTELECTUAL Y DE |
| Practice Address |
Carr 876 Km 4.6 Bo. Las Cuevas Trujillo Alto PR 00976-0000 |
| Mailing Address |
Po Box 665 Trujillo Alto PR 00977-0665 |
| Practice Telephone | 7877616244 |
| Practice Fax Number | 7872004409 |
| Mailing Telephone | 7877616244 |
| Mailing Fax Number | 7872004409 |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2016-06-22 |
| Authorized Official Name | MS. NILKA R. ENCARNACION (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Telephone | 7877616244 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3 | PR | Residential Treatment Facilities |
| Street Address |
CARR 876 KM 4.6 BO. LAS CUEVAS |
| City | TRUJILLO ALTO |
| State | PR |
| Zip Code | 00976-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546369 | Caroll Lynn Garcia | Physical Therapist | Parque Terralinda Apartado 2902, Trujillo Alto, PR 00976 | 2020-10-21 |
| 1083225908 | Expand Md Management Systems Corp | Internal Medicine | Montebello Estates Calle 4 C15, Trujillo Alto, PR 00976 | 2020-08-13 |
| 1215553375 | Damarys Reyes | Naturopath | Carr.181 Expreso Trujillo Alto Km.4.4 Local #14, Centro Comercial Lago Alto, Trujillo Alto, PR 00976 | 2020-06-24 |
| 1649890542 | Jeniffer Borrero | Family Medicine | 3 Bosque Del Rio, Trujillo Alto, PR 00976 | 2020-04-21 |
| 1417583899 | Ana Mary Pineiro Salgado | Pharmacist | Pr 181 & Pr 850, Trujillo Alto, PR 00976 | 2020-03-18 |
| 1417581802 | Gregori Cruz-figueroa | Ambulance | Carr 181 Km 0 Hm 1, Bo Las Cuevas Sector Vacas Flacas, Trujillo Alto, PR 00976 | 2020-02-25 |
| 1588298954 | Hector Mercado | General Practice | Villas De Carraizo Calle 48 R-9, Trujillo Alto, PR 00976 | 2020-02-25 |
| 1164054201 | Alexis Xavier Curet Burleson | Student in an Organized Health Care Education/Training Program | Calle Bianca G-5, Urb. Andrea's Court, Trujillo Alto, PR 00976 | 2020-02-06 |
| 1417593559 | Tato's Saving Lives Ambulance Services Inc. | Ambulance | Bariio Santo Domingo, Calle 4 # 288 Saint Just, Trujillo Alto, PR 00976 | 2019-11-25 |
| 1083257539 | Jackeline Perez Carrasquillo I | Speech-Language Pathologist | Urb. Villas De Trujillo Alto, Calle 2 Num 29 A, Trujillo Alto, PR 00976 | 2019-10-28 |
| Find all providers in zip 00976 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| City | TRUJILLO ALTO |
| Zip Code | 00976 |
Please comment or provide details below to improve the information on FUNDACION MODESTO GOTAY PRO PERSONAS CON DISCAPACIDAD INTELECTUAL Y DE.
| 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.