Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas, Inc

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

Legal business name

PROGRAMA DE SERVICIOS DE SALUD EN EL HOGAR Y HOSPICIO SAN LUCAS, INC

Practice address

Parking Centro Medico Plaza Central
Local #9 2ND Piso
Rio Piedras, PR 00927

Phone

(787) 843-4185

NPI assigned

Dec 8, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Isuanet Castillo Medina

Title

Directore Executiva Operacional

Phone

(787) 843-4185

Specialties & licenses 1

Addresses

Other names 1

• Clinica de Salud Conductual San Lucas Doing business as

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1023729266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7064",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327064",
            "telephone_number": "787-843-4185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PARKING CENTRO MEDICO PLAZA CENTRAL",
            "address_2": "LOCAL #9 2ND PISO",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00927",
            "telephone_number": "787-843-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRAMA DE SERVICIOS DE SALUD EN EL HOGAR Y HOSPICIO SAN LUCAS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-11-21",
        "status": "A",
        "authorized_official_last_name": "CASTILLO MEDINA",
        "authorized_official_first_name": "ISUANET",
        "authorized_official_title_or_position": "DIRECTORE EXECUTIVA OPERACIONAL",
        "authorized_official_telephone_number": "787-843-4185",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica de Salud Conductual San Lucas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Cognitive & Behavioral Psychologist in Rio Piedras, PR
• Providers in Rio Piedras, PR by specialty
• Cognitive & Behavioral Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.