Provider Demographics
NPI:1386482040
Name:PROGRAMA DEL ADOLESCENTE DE NARANJITO, INC.
Entity type:Organization
Organization Name:PROGRAMA DEL ADOLESCENTE DE NARANJITO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTORA EJECUTIVA
Authorized Official - Prefix:MISS
Authorized Official - First Name:AUREA
Authorized Official - Middle Name:
Authorized Official - Last Name:BERRIOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-869-4283
Mailing Address - Street 1:PO BOX 891
Mailing Address - Street 2:
Mailing Address - City:NARANJITO
Mailing Address - State:PR
Mailing Address - Zip Code:00719-0891
Mailing Address - Country:US
Mailing Address - Phone:787-869-4283
Mailing Address - Fax:
Practice Address - Street 1:CARR. PR 811 KM.5 HM.9
Practice Address - Street 2:BO. CEDRO ABAJO, SEC. 4 CALLES
Practice Address - City:NARANJITO
Practice Address - State:PR
Practice Address - Zip Code:00719
Practice Address - Country:US
Practice Address - Phone:787-869-4283
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-17
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty
No103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & AgingGroup - Multi-Specialty
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth ServiceGroup - Multi-Specialty