Programa del Adolescente de Naranjito, Inc.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Legal business name

PROGRAMA DEL ADOLESCENTE DE NARANJITO, INC.

Practice address

Carr. PR 811 KM.5 HM.9
Bo. Cedro Abajo, Sec. 4 Calles
Naranjito, PR 00719

Phone

(787) 869-4283

NPI assigned

Jul 17, 2024

Last updated

Jul 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Aurea Berrios

Title

Directora Ejecutiva

Phone

(787) 869-4283

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1386482040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 891",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007190891",
            "telephone_number": "787-869-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. PR 811 KM.5 HM.9",
            "address_2": "BO. CEDRO ABAJO, SEC. 4 CALLES",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "00719",
            "telephone_number": "787-869-4283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRAMA DEL ADOLESCENTE DE NARANJITO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "BERRIOS",
        "authorized_official_first_name": "AUREA",
        "authorized_official_title_or_position": "DIRECTORA EJECUTIVA",
        "authorized_official_telephone_number": "787-869-4283",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Child & Adolescent Psychologist in Naranjito, PR
• Providers in Naranjito, PR by specialty
• Clinical Child & Adolescent Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.