Servicios Integrados de Salud Mental S.E.P.I.

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

20389 Issued in PR

Legal business name

SERVICIOS INTEGRADOS DE SALUD MENTAL S.E.P.I.

Practice address

Edificio Caribbean Office Park Carr 417 Bo Malpaso
Aguada, PR 00602

Phone

(787) 868-1828

Fax

(787) 868-1828

NPI assigned

Nov 12, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Ilianette Ruiz, MD

Title

Owner

Phone

(787) 868-1828

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384214400000",
    "number": "1326478371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 CALLE COLON",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "787-868-1828",
            "fax_number": "787-868-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO CARIBBEAN OFFICE PARK CARR 417 BO MALPASO",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "787-868-1828",
            "fax_number": "787-868-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICIOS INTEGRADOS DE SALUD MENTAL S.E.P.I.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-12",
        "last_updated": "2013-11-12",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "ILIANETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-868-1828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PR",
            "license": "20389",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "PR",
            "license": "20389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zuleica Sella, RPH
• Francisco Jose Sepulveda
• John Manuel Serra Lopez
• Daniel Alexis Serrano, DC
• Serv Emerg del Noroeste
• Servicios Medicos del Oeste
• Servicios Medicos Profesionales Doctor J. Diaz CSP
• Servicos Medicos Eqr CSP
• Servimed Absolute Care - Cap, Inc.
• Servimed Absolute Care-West, Inc.

• Adolescent and Children Mental Health Clinic/Center in Aguada, PR
• Providers in Aguada, PR by specialty
• Adolescent and Children Mental Health Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; 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.