Clinica Interdisciplinaria de Psiquiatria Avanzada

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

7800 Issued in PR

Legal business name

CLINICA INTERDISCIPLINARIA DE PSIQUIATRIA AVANZADA

Doing business as

Cipa

Practice address

650 Calle Lloveras
Edif Centro Plaza Suite 101
San Juan, PR 00909-2110

Phone

(787) 721-4020

Fax

(787) 721-4555

NPI assigned

Aug 12, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carlos Augusto Caban, MD

Title

President

Phone

(787) 721-4020

Specialties & licenses 1

Addresses

Other names 1

• CIPA Doing business as

Locations

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.

• Mayra M. Calderin, M.D.

  • Psychiatry Physician
  • San Juan, PR
  • NPI 1265513493
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194737189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 CALLE LLOVERAS",
            "address_2": "EDIF CENTRO PLAZA SUITE 101",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092110",
            "telephone_number": "787-721-4020",
            "fax_number": "787-721-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 CALLE LLOVERAS",
            "address_2": "EDIF CENTRO PLAZA SUITE 101",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092110",
            "telephone_number": "787-721-4020",
            "fax_number": "787-721-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA INTERDISCIPLINARIA DE PSIQUIATRIA AVANZADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CABAN",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "AUGUSTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-721-4020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PR",
            "license": "7800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CIPA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clinica Dr Ferreras Inc
• Clinica Dr. Abraham
• Clinica Dr. Merlos Y Asociados
• Clinica Florece, LLC
• Clinica Integral de Otorrinolaringologia CRL
• Clinica Kallis Colon PSC
• Clinica Las Americas Guaynabo (Centro Radiologico Hato Rey)
• Clinica Las Americas Guaynabo (Salus Hato Rey)
• Clinica Las Americas Guaynabo, Inc (Centro Preventivo Hato Rey)
• Clinica Las Americas Guaynabo, Inc (S@W Telemedicine)

• Adult Mental Health Clinic/Center in San Juan, PR
• Providers in San Juan, PR by specialty
• Adult Mental Health Clinic/Center in Puerto Rico

• 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.