Organization · Type 2 NPI
Certified Community Behavioral Health Clinic (ccbhc)
Federally Qualified Health Center (FQHC) · San German, PR
NPI number
1952113102
Active
Practice location
Carr Pr 122 Km 0.6 Ave Castro Perez, Bo. Guama
San German, PR 00683
Mailing address
PO Box 190
Mayaguez, PR 00681-0190
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Multi-Specialty Clinic/Center | 261QM1300X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
About NPI 1952113102
Certified Community Behavioral Health Clinic (ccbhc)'s National Provider Identifier is 1952113102, issued on Jan 24, 2025. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in San German, PR. The record was last updated on Dec 22, 2025.