T&C Mental Health Home Service, Inc

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

9855 Issued in PR

Legal business name

T&C MENTAL HEALTH HOME SERVICE, INC

Practice address

Senderos del Rio 860
Carr.175 Apt. 1406
San Juan, PR 00926

Phone

(787) 614-3006

Fax

(787) 545-2543

NPI assigned

Jul 31, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Regino Cruz, M.D.

Title

Ceo

Phone

(787) 614-3006

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1255749396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SENDEROS DEL RIO 860",
            "address_2": "CARR.175 APT. 1406",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-614-3006",
            "fax_number": "787-545-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SENDEROS DEL RIO 860",
            "address_2": "CARR.175 APT. 1406",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-614-3006",
            "fax_number": "787-545-2543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T&C MENTAL HEALTH HOME SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-31",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "REGINO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "787-614-3006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "PR",
            "license": "9855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Ileana Surillo-Gonzalez, M.D.
• Ileana C Surillo, PSY.D
• Jose Antonio Suris, DMD
• Rosa Maria Surrilo, RNMSN
• T-Poc PR, LLC
• Karla M Taboas, M.S. SLP
• Rafael A. Taboas, M.D.
• Rafael Angel Taboas, OD
• William Rafael Taboas, M.D.
• Francine Loren Tait Avagnina

• Mental Illness Community Based Residential Treatment Facility in San Juan, PR
• Providers in San Juan, PR by specialty
• Mental Illness Community Based Residential Treatment Facility in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.