NPIMap

Organization Active NPI

Centro Salud Mental Mayaguez

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mayaguez, PR
National Provider Identifier
1265428601
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
5 Issued in PR
Legal business name
CENTRO SALUD MENTAL MAYAGUEZ
Practice address
Carr 2
Mayaguez, PR 00682-6353
Phone
(787) 766-4640
Fax
(787) 763-2344
NPI assigned
Sep 21, 2005
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
Mr. Carlos Elias Lugo
Title
Director
Phone
(787) 766-4640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 5 PR Primary

Addresses

Primary practice location

Carr 2
Mayaguez, PR 00682-6353

Mailing address

PO Box 21485
San Juan, PR 00928-1485
Phone (787) 766-4640

Other identifiers 7

IdentifierTypeStateIssuer
6800051OtherPRHUMANA
2445-2OtherPRAMPR
660405216-06OtherPRGOLDEN CROSS
SH-48116OtherPRUIA
222075OtherPRUTI
660433481-013OtherPRMCS
66173OtherPRCRUZ AZUL

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": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265428601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21485",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009281485",
            "telephone_number": "787-766-4640",
            "fax_number": "787-763-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006826353",
            "telephone_number": "787-766-4640",
            "fax_number": "787-763-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO SALUD MENTAL MAYAGUEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUGO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "ELIAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-766-4640",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PR",
            "license": "5",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "6800051",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMPR",
            "identifier": "2445-2",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GOLDEN CROSS",
            "identifier": "660405216-06",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UIA",
            "identifier": "SH-48116",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTI",
            "identifier": "222075",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCS",
            "identifier": "660433481-013",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "66173",
            "state": "PR"
        }
    ],
    "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 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.