CENTRO PRAY THE LORD INCORPORATED


Address: Carr 3 Km 11.6, Bo Martin Gonzalez, Carolina, PR 00986
Phone: 7873584139

CENTRO PRAY THE LORD INCORPORATED (NPI# 1497257463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497257463
Entity Type Organization
Organization Name CENTRO PRAY THE LORD INCORPORATED
Other Organization Name PRAY THE LORD
Practice Address Carr 3 Km 11.6
Bo Martin Gonzalez
Carolina
PR 00986
Practice Telephone 7873584139
Practice Fax Number 2568862900
Mailing Telephone 7873584139
Mailing Fax Number 2568862900
Enumeration Date 2018-03-06
Last Update Date 2018-03-06
Authorized Official Name DR. REGINO CRUZ OLIVO (VICE PRESIDENT)
Authorized Official Telephone 7876143006
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084A0401X Psychiatry & Neurology
Specialization: Addiction Medicine
9855 PR Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Pray the Lord Doing Business As Name - Organization

Office Location

Street Address CARR 3 KM 11.6
BO MARTIN GONZALEZ
City CAROLINA
State PR
Zip Code 00986

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Taxonomy Information

Taxonomy Code 2084A0401X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Addiction Medicine

Taxonomy Definition

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

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NPI Name Taxonomy Address Enumeration
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Competitor

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City CAROLINA
Zip Code 00986

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Dataset Information

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.

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