Provider Demographics
NPI:1063724888
Name:FAMILY PLANNING ASSOCIATION OF PUERTO RICO
Entity type:Organization
Organization Name:FAMILY PLANNING ASSOCIATION OF PUERTO RICO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:MERCEDES
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-765-7373
Mailing Address - Street 1:2 CALLE VENUS
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-6397
Mailing Address - Country:US
Mailing Address - Phone:787-905-7350
Mailing Address - Fax:787-905-7351
Practice Address - Street 1:2 CALLE VENUS
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-6397
Practice Address - Country:US
Practice Address - Phone:787-905-7350
Practice Address - Fax:787-905-7351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-09
Last Update Date:2010-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR139261QA0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility