Organization Active NPI

Clinica Servicios Integrales Para la Ninez Y Adolescencia de San Juan

  • Adolescent and Children Mental Health Clinic/Center
  • Santurce, PR
National Provider Identifier
1043439383
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
CLINICA SERVICIOS INTEGRALES PARA LA NINEZ Y ADOLESCENCIA DE SAN JUAN
Practice address
900 Calle Cerra
Santurce, PR 00907-5104
Phone
(787) 721-3220
Fax
(787) 721-3207
NPI assigned
Apr 25, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Nitza Otero
Title
Administrator
Phone
(787) 721-3220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X PR Primary

Addresses

Primary practice location

900 Calle Cerra
Santurce, PR 00907-5104

Mailing address

900 Calle Cerra
Santurce, PR 00907-5104
Phone (787) 721-3220

National Provider Directory

National Provider Directory
Tax ID family
CDT Dr a J Garcia63 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043439383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CALLE CERRA",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009075104",
            "telephone_number": "787-721-3220",
            "fax_number": "787-721-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CALLE CERRA",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009075104",
            "telephone_number": "787-721-3220",
            "fax_number": "787-721-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA SERVICIOS INTEGRALES PARA LA NINEZ Y ADOLESCENCIA DE SAN JUAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OTERO",
        "authorized_official_first_name": "NITZA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-721-3220",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santurce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.