Pax de Puerto Rico Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

4040 Issued in PR

Legal business name

PAX DE PUERTO RICO INC.

Practice address

Jardines del Caribe 49
Yy46
Ponce, PR 00731

Phone

(787) 644-9925

NPI assigned

Oct 19, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Ariadne Rodriguez Velazquez, PH. D

Title

Executive Director

Phone

(787) 644-9925

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1033494281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 JARDINES DEL CARIBE",
            "address_2": "#YY46",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007282654",
            "telephone_number": "787-644-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JARDINES DEL CARIBE 49",
            "address_2": "YY46",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00731",
            "telephone_number": "787-644-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAX DE PUERTO RICO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "VELAZQUEZ",
        "authorized_official_first_name": "ARIADNE",
        "authorized_official_middle_name": "RODRIGUEZ",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-644-9925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH. D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PR",
            "license": "4040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Ponce, PR
• Providers in Ponce, PR by specialty
• Community/Behavioral Health Agency in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.