Organization Active NPI

RC Behavioral Welness LLC

  • Psychiatry Physician
  • Mayaguez, PR
National Provider Identifier
1154814408
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
18502 Issued in PR
Legal business name
RC BEHAVIORAL WELNESS LLC
Practice address
740 Ave Hostos
Cond Medical Center Plaza, Office 304
Mayaguez, PR 00680
Phone
(787) 396-2181
NPI assigned
Jun 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Authorized official

Name
Dr. Jan Carlos Roman Ithier, MDNPI 1992938229
Title
President
Phone
(787) 396-2181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 18502 PR Primary

Addresses

Primary practice location

740 Ave Hostos
Cond Medical Center Plaza, Office 304
Mayaguez, PR 00680

Mailing address

PO Box 3633
Mayaguez, PR 00681-3633
Phone (787) 396-2181

National Provider Directory

National Provider Directory

Locations

740 Ave Hostos
Ste 304
Mayaguez, PR 00682
Phone (787) 396-2181

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528761600000",
    "number": "1154814408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3633",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006813633",
            "telephone_number": "787-396-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 AVE HOSTOS",
            "address_2": "COND MEDICAL CENTER PLAZA, OFFICE 304",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-396-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RC BEHAVIORAL WELNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-12",
        "status": "A",
        "authorized_official_last_name": "ROMAN ITHIER",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-396-2181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "18502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; 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.