Provider Demographics
NPI:1063180701
Name:FAMILIAS CAPACES, INC.
Entity type:Organization
Organization Name:FAMILIAS CAPACES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AYSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:CONCEPCION-LIZARDI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:787-708-9093
Mailing Address - Street 1:PO BOX 9021115
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00902-1115
Mailing Address - Country:US
Mailing Address - Phone:787-708-9093
Mailing Address - Fax:
Practice Address - Street 1:CALLE TURQUESA 2118 EDIFICIO QUIMICAS UNIDAS
Practice Address - Street 2:SUITE 201-B
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-4960
Practice Address - Country:US
Practice Address - Phone:787-708-9093
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-30
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health