Provider Demographics
NPI:1528269263
Name:CENTRO DE CONSEJERIA PSICOSOCIAL
Entity type:Organization
Organization Name:CENTRO DE CONSEJERIA PSICOSOCIAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EFRAIN
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:787-653-6672
Mailing Address - Street 1:URB. TURABO GARDENS
Mailing Address - Street 2:M6 CALLE 43
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-0000
Mailing Address - Country:US
Mailing Address - Phone:787-653-6672
Mailing Address - Fax:787-258-0869
Practice Address - Street 1:URB. TURABO GARDENS M6 STREET 43
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00727-0000
Practice Address - Country:US
Practice Address - Phone:787-653-6672
Practice Address - Fax:787-258-0869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4504261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR697OtherAPS HEALTH CARE
PR337905OtherVALUE OPTIONS
PR583451347OtherMAPFRE HEALTH CARE
PRTS 0023OtherPREFERRED HEALTH
PR50128OtherTRIPLE SSS
PR337905OtherFHC HEALTH CARE
PR583451347OtherMCS HEALTH CARE
PRTS 0023OtherPREFERRED HEALTH
PR0050128Medicare ID - Type Unspecified