Provider Demographics
NPI:1063996015
Name:CENTRO DE ASISTENCIA PSICOEDUCATIVA E INVESTIGACION
Entity type:Organization
Organization Name:CENTRO DE ASISTENCIA PSICOEDUCATIVA E INVESTIGACION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:A
Authorized Official - Last Name:PAGAN NIEVES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:787-368-3004
Mailing Address - Street 1:PO BOX 549
Mailing Address - Street 2:
Mailing Address - City:NARANJITO
Mailing Address - State:PR
Mailing Address - Zip Code:00719-0549
Mailing Address - Country:US
Mailing Address - Phone:787-368-3004
Mailing Address - Fax:
Practice Address - Street 1:125 CALLE GEORGETTI
Practice Address - Street 2:
Practice Address - City:NARANJITO
Practice Address - State:PR
Practice Address - Zip Code:00719-3023
Practice Address - Country:US
Practice Address - Phone:787-368-3004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-16
Last Update Date:2018-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth ServiceGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)