Organization Active NPI

Taller Integral Corp.

  • Adult Mental Health Clinic/Center
  • Manati, PR
National Provider Identifier
1053508267
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
1136 Issued in PR
Legal business name
TALLER INTEGRAL CORP.
Practice address
Calle 10 Bloque 3 #32
Urbanizacion Villa Nitza
Manati, PR 00674-0046
Phone
(787) 884-0087
Fax
(787) 884-0087
NPI assigned
Oct 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Maria de Los Angeles De Jesus Garcia, PH.D.
Title
President
Phone
(787) 884-0087

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 1136 PR
Adult Mental Health Clinic/Center 261QM0850X 1136 PR Primary

Addresses

Primary practice location

Calle 10 Bloque 3 #32
Urbanizacion Villa Nitza
Manati, PR 00674-0046

Mailing address

PO Box 46
Manati, PR 00674-0046
Phone (787) 884-0087

Other identifiers 1

IdentifierTypeStateIssuer
1659443026OtherPRINDIVIDUL NPI

National Provider Directory

National Provider Directory

Locations

B22 Calle 3
Manati, PR 00674
Phone (254) 290-2870

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1053508267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 46",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006740046",
            "telephone_number": "787-884-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 10 BLOQUE 3 #32",
            "address_2": "URBANIZACION VILLA NITZA",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006740046",
            "telephone_number": "787-884-0087",
            "fax_number": "787-884-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALLER INTEGRAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "DE JESUS GARCIA",
        "authorized_official_first_name": "MARIA DE LOS",
        "authorized_official_middle_name": "ANGELES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-884-0087",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PR",
            "license": "1136",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PR",
            "license": "1136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUL NPI",
            "identifier": "1659443026",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.