Organization Active NPI

Administracion de Servicios de Salud Mental Y Contra la Adiccion

  • Substance Abuse Rehabilitation Facility
  • Ponce, PR
National Provider Identifier
1104044932
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
365 Issued in PR
Legal business name
ADMINISTRACION DE SERVICIOS DE SALUD MENTAL Y CONTRA LA ADICCION
Practice address
Carretera 14 Terreno Hosp San Luc 2
Ponce, PR 00732
Phone
(787) 840-6935
NPI assigned
Apr 24, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Jose Galarza, M.D
Title
Agency Administrator
Phone
(787) 763-7575

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 365 PR Primary

Addresses

NPPES NPI Registry

Primary practice location

Carretera 14 Terreno Hosp San Luc 2
Ponce, PR 00732

Mailing address

45 Calle Virtud
Ponce, PR 00730-3801
Phone (787) 844-8795

Other names 1

NPPES NPI Registry
  • Administracion de Servicios de Salud Mental y Contra la Adiccion Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 17, 2008.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1104044932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 CALLE VIRTUD",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007303801",
            "telephone_number": "787-844-8795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 14 TERRENO HOSP SAN LUC 2",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00732",
            "telephone_number": "787-840-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADMINISTRACION DE SERVICIOS DE SALUD MENTAL Y CONTRA LA ADICCION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "GALARZA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "AGENCY ADMINISTRATOR",
        "authorized_official_telephone_number": "787-763-7575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "PR",
            "license": "365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Administracion de Servicios de Salud Mental y Contra la Adiccion",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 17, 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.