NPIMap

Organization Active NPI

Administracion de Services de Salud Mental Contra la Addicion

  • Methadone Clinic
  • San Juan, PR
National Provider Identifier
1194852830
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
ADMINISTRACION DE SERVICES DE SALUD MENTAL CONTRA LA ADDICION
Practice address
Calle Maga Final Pabellon G, Terrenos Hosp Psiquiatrico
San Juan, PR 00936
Phone
(787) 763-7575
NPI assigned
Feb 28, 2007
Last updated
Sep 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Authorized official

Name
Jimmy Baez Salgado, SR.
Title
Director de Factuacion
Phone
(787) 763-7575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X NU Primary

Addresses

Primary practice location

Calle Maga Final Pabellon G, Terrenos Hosp Psiquiatrico
San Juan, PR 00936

Mailing address

PO Box 607087
Bayamon, PR 00960-7087
Phone (787) 763-7575

Other names 1

  • Clinica de Tratamiento integral asistido con medicamentos de San Jaun Former legal business name

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": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1194852830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607087",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009607087",
            "telephone_number": "787-763-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE MAGA FINAL PABELLON G, TERRENOS HOSP PSIQUIATRICO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00936",
            "telephone_number": "787-763-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADMINISTRACION DE SERVICES DE SALUD MENTAL CONTRA LA ADDICION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "SALGADO",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "BAEZ",
        "authorized_official_title_or_position": "DIRECTOR DE FACTUACION",
        "authorized_official_telephone_number": "787-763-7575",
        "authorized_official_credential": "SR."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica de Tratamiento integral asistido con medicamentos de San Jaun",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Sep 9, 2021; 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.