Provider Demographics
NPI:1063759603
Name:CENTRO DE ORIENTACION Y AYUDA PSIQUIATRICA NINOS INC.
Entity type:Organization
Organization Name:CENTRO DE ORIENTACION Y AYUDA PSIQUIATRICA NINOS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTA
Authorized Official - Prefix:DR
Authorized Official - First Name:NELSA
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-256-0273
Mailing Address - Street 1:PO BOX 608
Mailing Address - Street 2:
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00977-0608
Mailing Address - Country:US
Mailing Address - Phone:787-428-5878
Mailing Address - Fax:
Practice Address - Street 1:VILLAS DEL SOL
Practice Address - Street 2:BLOQ 2 EDF 1 APT B-3
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976
Practice Address - Country:US
Practice Address - Phone:787-428-5878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-15
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11320251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management