CORDA OF PR INC (NPI# 1720379704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720379704 |
| Entity Type | Organization |
| Organization Name | CORDA OF PR INC |
| Practice Address |
Carr 910 Int Km 4.3 Bo Catano Humacao PR 00792 |
| Mailing Address |
Po Box 220 Humacao PR 00792-0220 |
| Practice Telephone | 7876364741 |
| Practice Fax Number | 7872851890 |
| Mailing Telephone | 7876364741 |
| Mailing Fax Number | 7872851890 |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2011-04-26 |
| Authorized Official Name | DR. GILBERT RODRIGUEZ (CEO) |
| Authorized Official Telephone | 7876365443 |
| Authorized Official Credential | LHD, DD, TAC III |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | CTRSA-0243 | PR | Residential Treatment Facilities |
| Street Address |
CARR 910 INT KM 4.3 BO CATANO |
| City | HUMACAO |
| State | PR |
| Zip Code | 00792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575735 | Fabiola M Castro Vazquez | Speech-Language Pathologist | Triumph Plaza Lote #3, Carretera Estatal #3 Km 83.6, Humacao, PR 00792 | 2020-10-12 |
| 1669087540 | Gabriela Marie Diaz Rivera | Peer Specialist | Expreso Luis A. Ferre, Escuela De Medicina San Juan Bautista, Caguas, PR 00792 | 2020-09-09 |
| 1861039083 | Gretchen Marie Borges | Naturopath | Urb. Palacios Del Sol 242, Calle Arena, Humacao, PR 00792 | 2019-12-06 |
| 1225673353 | Manuel Rivera | Chiropractor | Ofc 3, Triumph Plaza Shopping Center, Carr. 3 Km 83.6, Humacao, PR 00792 | 2019-11-13 |
| 1851813547 | Inspira Psychiatric Services Psc | Clinic/Center | Centro Comercial Humacao, Ave. Font Martelo, Edificio 10a, Local 3 Y 4, Humacao, PR 00792 | 2017-07-13 |
| 1568905685 | Corp Fondo Seguro Del Estado-humacao | Clinic/Center | 2 Ave Boulevard Del Rio, Carr 3, Humacao, PR 00792 | 2016-11-21 |
| 1942742879 | Clinica De Servicios Medicos Y Complementarios | Clinic/Center | 59 Font Martelo, Humacao, PR 00792 | 2016-11-09 |
| 1912353608 | Red Medica, LLC | Clinic/Center | 14 Miguel Casillas, Humacao, PR 00792 | 2016-05-11 |
| 1447613609 | First Health System, Inc. | Clinic/Center | Centro Comercial Humacao, Edif 10a Local 3 Y 4, Humacao, PR 00792 | 2016-04-04 |
| 1851758361 | Rv Medical Psc | Clinic/Center | Carr 3 Km 85.5, Bo Candelero Arriba Oficina 2 Edificio Plaza Del Mar, Humacao, PR 00792 | 2016-01-28 |
| Find all providers in zip 00792 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
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| 1003458878 | Centro Cristiano De Educacion Integral La Puerta Inc | Substance Abuse Rehabilitation Facility | Carretera 874 Km 0.2 Bo. Canovanillas, Carolina, PR 00986 | 2019-10-14 |
| 1770043705 | Estancia Serena, Inc. | Substance Abuse Rehabilitation Facility | Carr. 929 Km 1.9, Bo. Lirios, Juncos, PR 00777 | 2019-03-25 |
| 1740729896 | Hogar Santisima Trinidad, Inc. | Substance Abuse Rehabilitation Facility | Carr 861 # Km7.0, Bo. Mucarabones, Toa Alta, PR 00953-8528 | 2017-02-21 |
| 1083150262 | Hogar Luz De Vida Inc | Substance Abuse Rehabilitation Facility | Carr 108 Km 10.9 Ramal 4430 Interior, Bo Lequisamo, Mayaguez, PR 00681 | 2017-01-12 |
| 1902282247 | Iniciativa Comunitaria De Investigacion | Substance Abuse Rehabilitation Facility | Calle Toscania #1196, Urb. Villa Capri, San Juan, PR 00924 | 2015-08-10 |
| 1891035929 | Transformados Health Detox Psc | Substance Abuse Rehabilitation Facility | Carrt 821 Km 2.1 Sector El Charol, Bo Abras, Corozal, PR 00783 | 2013-02-27 |
| 1881939551 | Fundacion U.p.e.n.s., Inc. | Substance Abuse Rehabilitation Facility | Calle Luis Munoz Rivera Solar A, Vega Alta, PR 00692 | 2012-12-06 |
| 1518255017 | La Perla De Gran Precio | Substance Abuse Rehabilitation Facility | Carr. 816 Km 5.8, Sector Los Vargas, Barrio Nuevo, Bayamon, PR 00956 | 2011-07-18 |
| 1023303187 | Jose Ruiz | Substance Abuse Rehabilitation Facility | Road 830 Km 3.3, Sec. Ortega, Bo. Cerro Gordo, Bayamon, PR 00960 | 2011-06-16 |
| 1124312251 | Hogar Llevando Luz A Las Tinieblas | Substance Abuse Rehabilitation Facility | 1007 Ave Dos Palmas, Toa Baja, PR 00949-4101 | 2011-06-07 |
| Find all providers with the same taxonomy | ||||
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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.