Organization · Type 2 NPI

Municipality of San Juan

Adult Mental Health Clinic/Center · San Juan, PR

NPI number 1639582844 Active

Practice location

Calle Cerra Final Esq Calle Hoare #900
San Juan, PR 00928-1405

Call (787) 480-3828 Map

Fax (787) 977-8401

Mailing address

PO Box 21405
San Juan, PR 00928-1405

Specialties and licenses

Taxonomy	Code	License
Adult Mental Health Clinic/Center Primary	261QM0850X	101 CNC NUM 78-262 (PR)
Adolescent and Children Mental Health Clinic/Center	261QM0855X	101 CNC 78-262 (PR)

Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Other adult mental health clinic/center providers in San Juan

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NPI record

NPI: 1639582844
Entity type: Organization (Type 2)
Issued: Jun 5, 2014
Last updated: Jun 5, 2014
Status: Active

Other names

<unavail>
Grupo Clinico Salud Mental CDT Dr. Gualberto Rabell · doing business as

Authorized official

Mr. Elliott Santiago Concepcion, PHD MBA
Physocological Service Supervisor
(787) 480-3828

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1639582844

Municipality of San Juan's National Provider Identifier is 1639582844, issued on Jun 5, 2014. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in San Juan, PR. The record was last updated on Jun 5, 2014.