NPIMap

Organization Active NPI

Centro de Servicios Profesionales de Salud Mental Esperanza Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Isabela, PR
National Provider Identifier
1124269600
Registry record updated Feb 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
54786 Issued in PR
Legal business name
CENTRO DE SERVICIOS PROFESIONALES DE SALUD MENTAL ESPERANZA INC.
Practice address
Calle Barbosa
68
Isabela, PR 00662
Phone
(787) 872-7314
Fax
(787) 872-7314
NPI assigned
Mar 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2012

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

Authorized official

Name
Mrs. Gonzalez Marcucci Myrna
Title
Director Precidente Administrador
Phone
(787) 872-7314

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 54786 PR
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 54786 PR Primary

Addresses

Primary practice location

Calle Barbosa
68
Isabela, PR 00662

Mailing address

Urbanizacion Mansiones del Atlantico 556
Isabela, PR 00662
Phone (787) 242-1100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1124269600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URBANIZACION MANSIONES DEL ATLANTICO 556",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "00662",
            "telephone_number": "787-242-1100",
            "fax_number": "787-872-7314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE BARBOSA",
            "address_2": "68",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "00662",
            "telephone_number": "787-872-7314",
            "fax_number": "787-872-7314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE SERVICIOS PROFESIONALES DE SALUD MENTAL ESPERANZA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-13",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "MYRNA",
        "authorized_official_first_name": "GONZALEZ",
        "authorized_official_middle_name": "MARCUCCI",
        "authorized_official_title_or_position": "DIRECTOR  PRECIDENTE ADMINISTRADOR",
        "authorized_official_telephone_number": "787-872-7314",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "PR",
            "license": "54786",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PR",
            "license": "54786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isabela, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; 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.