Provider Demographics
NPI:1871469163
Name:COLEGIO DE APRENDIZAJE Y DESARROLLO EDUCATIVO INTEGRADO
Entity type:Organization
Organization Name:COLEGIO DE APRENDIZAJE Y DESARROLLO EDUCATIVO INTEGRADO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MILENE
Authorized Official - Middle Name:ZOE
Authorized Official - Last Name:BARRETO ESCOBAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-396-7303
Mailing Address - Street 1:PO BOX 578
Mailing Address - Street 2:
Mailing Address - City:MOCA
Mailing Address - State:PR
Mailing Address - Zip Code:00676-0578
Mailing Address - Country:US
Mailing Address - Phone:787-396-7303
Mailing Address - Fax:
Practice Address - Street 1:CARR. 111 KM 9.8
Practice Address - Street 2:BO VOLADORAS
Practice Address - City:MOCA
Practice Address - State:PR
Practice Address - Zip Code:00676
Practice Address - Country:US
Practice Address - Phone:787-396-7303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-14
Last Update Date:2025-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization