Organization Active NPI

Vanessa Berrios PH D & Associados PSC

  • Adult Mental Health Clinic/Center
  • Ponce, PR
National Provider Identifier
1073831707
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
001177 Issued in PR
Legal business name
VANESSA BERRIOS PH D & ASSOCIADOS PSC
Practice address
2275 Ponce by Pass
Ponce, PR 00717-1380
Phone
(787) 290-1111
Fax
(787) 290-1111
NPI assigned
May 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Authorized official

Name
Vanessa Berrios Mendez, PH D
Title
President
Phone
(787) 290-1111

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 001177 PR Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 001177 PR

Addresses

Primary practice location

2275 Ponce by Pass
Ponce, PR 00717-1380

Mailing address

PO Box 800104
Coto Laurel, PR 00780-0104
Phone (787) 290-1111

National Provider Directory

National Provider Directory

Locations

2275 Ponce Byp
Ponce, PR 00717
Phone (787) 290-1111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1073831707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800104",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007800104",
            "telephone_number": "787-290-1111",
            "fax_number": "787-290-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 PONCE BY PASS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171380",
            "telephone_number": "787-290-1111",
            "fax_number": "787-290-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANESSA BERRIOS PH D & ASSOCIADOS PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-05",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "BERRIOS MENDEZ",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-290-1111",
        "authorized_official_credential": "PH D"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PR",
            "license": "001177",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "PR",
            "license": "001177",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.