Provider Demographics
NPI:1922986934
Name:CENTRO DE REHABILITACION FAMILIAR NUEVA VIDA INC.
Entity type:Organization
Organization Name:CENTRO DE REHABILITACION FAMILIAR NUEVA VIDA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR EJECUTIVO
Authorized Official - Prefix:PROF
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-312-8521
Mailing Address - Street 1:PO BOX 429
Mailing Address - Street 2:
Mailing Address - City:MOCA
Mailing Address - State:PR
Mailing Address - Zip Code:00676-0429
Mailing Address - Country:US
Mailing Address - Phone:787-312-8521
Mailing Address - Fax:
Practice Address - Street 1:CAR. 444 K.M. 2.8 BO. CUCHILLAS SECTOR LIMON
Practice Address - Street 2:
Practice Address - City:MOCA
Practice Address - State:PR
Practice Address - Zip Code:00676
Practice Address - Country:US
Practice Address - Phone:787-312-8521
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTRO DE REHABILITACION FAMILIAR NUEVA VIDA INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health