NPIMap

Organization Active NPI

Ponce Medical School Foundation

  • Mental Health Counselor
  • Guayama, PR
National Provider Identifier
1285648279
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PONCE MEDICAL SCHOOL FOUNDATION
Practice address
Nieves Pettite Mall Local # 2
Guayama, PR 00785
Phone
(787) 866-2726
Fax
(787) 866-0014
NPI assigned
Jul 28, 2006
Last updated
Aug 9, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

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

Authorized official

Name
Hector Burgos, MBA
Title
Operations Manager
Phone
(787) 840-2575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

Nieves Pettite Mall Local # 2
Guayama, PR 00785

Mailing address

PO Box 7004
Ponce, PR 00732-7004
Phone (787) 840-2575

Other names 1

  • CENTRO DE SALUD CONDUCTUAL GUAYAMA Other name

National Provider Directory

National Provider Directory
Tax ID family
Centro de Salud Conductual10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186617600000",
    "number": "1285648279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7004",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327004",
            "telephone_number": "787-840-2575",
            "fax_number": "787-840-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NIEVES PETTITE MALL LOCAL # 2",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00785",
            "telephone_number": "787-866-2726",
            "fax_number": "787-866-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONCE MEDICAL SCHOOL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-08-09",
        "status": "A",
        "authorized_official_last_name": "BURGOS",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "787-840-2575",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRO DE SALUD CONDUCTUAL GUAYAMA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Guayama, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; 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.