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Organization Active NPI

El Lucero - a Bilingual Life Skills Center

  • Substance Abuse Rehabilitation Facility
  • Fredericksburg, VA
National Provider Identifier
1023021441
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
0710102137 Issued in VA
Legal business name
EL LUCERO - A BILINGUAL LIFE SKILLS CENTER
Practice address
106 Cambridge St
Suite 105
Fredericksburg, VA 22405-1952
Phone
(540) 372-7211
Fax
(540) 372-7223
NPI assigned
Aug 15, 2006
Last updated
Feb 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Luz Amalya Gonzalez, CSAC
Title
Director-Bilingual Instructor
Phone
(540) 372-7211

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Hospital Unit 276400000X 0710102137 VA
Exclusive Provider Organization 302F00000X 0710102137 VA
Substance Abuse Rehabilitation Facility 324500000X 0710102137 VA Primary
Genetic Counselor (M.S.) 170300000X 0710102137 VA
Early Intervention Provider Agency 252Y00000X 0710102137 VA

Addresses

Primary practice location

106 Cambridge St
Suite 105
Fredericksburg, VA 22405-1952

Mailing address

PO Box 42178
Fredericksburg, VA 22404-2178
Phone (540) 372-7211

National Provider Directory

National Provider Directory

Locations

106 Cambridge St
Ste 105
Fredericksburg, VA 22405
Phone (540) 372-7211

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1023021441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42178",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224042178",
            "telephone_number": "540-372-7211",
            "fax_number": "540-372-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 CAMBRIDGE ST",
            "address_2": "SUITE 105",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224051952",
            "telephone_number": "540-372-7211",
            "fax_number": "540-372-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL LUCERO - A BILINGUAL LIFE SKILLS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "LUZ",
        "authorized_official_middle_name": "AMALYA",
        "authorized_official_title_or_position": "DIRECTOR-BILINGUAL INSTRUCTOR",
        "authorized_official_telephone_number": "540-372-7211",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CSAC"
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "VA",
            "license": "0710102137",
            "primary": false
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "VA",
            "license": "0710102137",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "VA",
            "license": "0710102137",
            "primary": true
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "VA",
            "license": "0710102137",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "VA",
            "license": "0710102137",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.