Organization Active NPI

Assmca

Doing business as CSM de San Patricio

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Juan, PR
National Provider Identifier
1164640421
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
07-F-1998 Issued in PR
Legal business name
ASSMCA
Doing business as
CSM de San Patricio
Practice address
Assmca San Patricio, Edif 4
Antiguo Hospital de Veteranos Ave. de Diego
San Juan, PR 00928-1414
Phone
(787) 706-1866
Fax
(787) 782-2282
NPI assigned
Apr 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Orlando Torres, P.H.D.
Title
Director Centro
Phone
(787) 706-1866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 07-F-1998 PR Primary

Addresses

Primary practice location

Assmca San Patricio, Edif 4
Antiguo Hospital de Veteranos Ave. de Diego
San Juan, PR 00928-1414

Mailing address

PO Box 21414
San Juan, PR 00928-1414
Phone (787) 706-1866

Other names 1

  • CSM DE SAN PATRICIO Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Programa de Servicio Residencial Para Ninos Y Adolescentes28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164640421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21414",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009281414",
            "telephone_number": "787-706-1866",
            "fax_number": "787-782-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ASSMCA SAN PATRICIO, EDIF 4",
            "address_2": "ANTIGUO HOSPITAL DE VETERANOS AVE. DE DIEGO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009281414",
            "telephone_number": "787-706-1866",
            "fax_number": "787-782-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSMCA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "ORLANDO",
        "authorized_official_title_or_position": "DIRECTOR CENTRO",
        "authorized_official_telephone_number": "787-706-1866",
        "authorized_official_credential": "P.H.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PR",
            "license": "07-F-1998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CSM DE SAN PATRICIO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.