TEEN CHALLENGE DE PUERTO RICO, INC. (NPI# 1598363954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598363954 |
Entity Type | Organization |
Organization Name | TEEN CHALLENGE DE PUERTO RICO, INC. |
Practice Address |
Carretera #2 Km 7.7 Bayamon PR 00958 |
Mailing Address |
Po Box 4273 Bayamon PR 00958-1273 |
Practice Telephone | 7877306908 |
Mailing Telephone | 7877306908 |
Enumeration Date | 2020-10-16 |
Last Update Date | 2020-10-16 |
Authorized Official Name | OLGA J GOMEZ RIVERA (REVENUE CYCLE MANAGER) |
Authorized Official Telephone | 7876322072 |
Authorized Official Credential | PMB |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
N | 251J00000X | Nursing Care | Agencies | ||
N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
TEEN CHALLENGE CLINIC | Doing Business As Name - Organization |
Street Address |
CARRETERA #2 KM 7.7 |
City | BAYAMON |
State | PR |
Zip Code | 00958 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063021194 | Dr Veronica Beyley Pagan | Internal Medicine | Urbanizacion Hermanas Davila, Calle J9, Bayamon, PR 00958 | 2020-07-24 |
1639671506 | Carline Garnier | Clinical Medical Laboratory | Chez Mini Mall, 3 Carr 174 Km 5.0, Bayamon, PR 00958 | 2018-03-06 |
1194976522 | Glenda Colon | Social Worker | Centro De Salud Mental De Bayamon, Aptdo 4258 Bayamon Gardens Station, Bayamon, PR 00958 | 2008-10-03 |
1306047584 | Alicia E. Lamboy | Pharmacist | Laurel Ave., Hospital Universitario Ramon Ruiz Arnau, Bayamon, PR 00958 | 2007-05-29 |
1770794307 | Carmen Delia Diaz | General Practice | Avenue Central Juanita Final, Complejo Correcional De Bayamon, Bayamon, PR 00958 | 2007-05-25 |
1184848681 | Rosalee Matias | Pharmacy Technician | Carr 862 Km 2 Hm 8, Sect Lo Frailes, Bayamon, PR 00958 | 2007-04-13 |
1972587558 | Jose G Iguina | Pediatrics | C Marginal Santa Cruz, D-2 Urb Santa Cruz, Bayamon, PR 00958 | 2005-12-06 |
1619961877 | St Lukes Episcopal Church Home Care Program | Home Health | Royal Club Convention Center 2ndo Piso, Ave. Comerio Carr. 167 Km. 19.5, Bayamon, PR 00958 | 2005-09-02 |
1972112001 | Dr Jorge Cruz-cruz | Internal Medicine | Urb Hermanas Davila, Calle J-9, Bayamon, PR 00958 | 2020-07-24 |
1912543745 | Migdalia Roldan | Pharmacist | Carr 862 Km 1.9, Hato Tejas, Bayamon, PR 00958 | 2019-11-27 |
Find all providers in zip 00958 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902413990 | Lourdes Marie Davila | General Practice | Urb Extension Forest Hills, Calle Uruguay U 684, Bayamon, PR 00959 | 2020-09-24 |
1679188189 | Francisco Menendez Diaz | General Practice | 56 Calle Estancias, Bayamon, PR 00956-5092 | 2020-09-11 |
1447880786 | Marysol Vicente | General Practice | 53-1 Calle 60a, Bayamon, PR 00957-3871 | 2020-01-24 |
1790322261 | Transforma Health Systems L.L.C. | General Practice | Calle 2 G14 Ext. Villa Rica, Bayamon, PR 00959 | 2019-12-04 |
1023654217 | Oscar Andres Rodriguez-ayala | General Practice | Ave. Cementerio Nacional 11, Hato Tejas, Bayamon, PR 00961 | 2019-11-21 |
1073154860 | Rodriguez Carrer Md | General Practice | Urb Royal Gardens, Calle Esther Lote E-4, Bayamon, PR 00957 | 2019-10-02 |
1124675582 | Blessing Medical Services LLC | General Practice | Carr 174 Blq 21-25, Santa Rosa, Bayamon, PR 00959 | 2019-08-21 |
1134787708 | Angel Luis Lopez Perez | General Practice | M12 Calle 12, Urb Versalles, Bayamon, PR 00959-2123 | 2019-05-30 |
1316405061 | Alexandra Rosado Betancourt | General Practice | G11 Calle Jerry Rivas Diaz, Urb Sta Monica, Bayamon, PR 00957 | 2019-03-12 |
1184110868 | Carlos Javier Arencibia Albite | General Practice | D5-11 San Fernando Garden Apartments, Bayamon, PR 00957 | 2018-07-06 |
Find all providers in BAYAMON |
Please comment or provide details below to improve the information on TEEN CHALLENGE DE PUERTO RICO, INC..
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.