Provider Demographics
NPI:1396144515
Name:CENTRO DE APOYO PARA FAMILIAS SEGURAS, INC.
Entity type:Organization
Organization Name:CENTRO DE APOYO PARA FAMILIAS SEGURAS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTORA EJECUTIVA
Authorized Official - Prefix:DR
Authorized Official - First Name:NELSA
Authorized Official - Middle Name:ONDINA
Authorized Official - Last Name:RODRIGUEZ-CESPEDES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-648-4863
Mailing Address - Street 1:PO BOX 9915
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00988-9915
Mailing Address - Country:US
Mailing Address - Phone:787-648-4863
Mailing Address - Fax:
Practice Address - Street 1:LOIZA VALLEY SHOPPING CENTER, LOCAL AA-7
Practice Address - Street 2:2ND FLOOR
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729
Practice Address - Country:US
Practice Address - Phone:787-648-4863
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-14
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR80071835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatricGroup - Multi-Specialty