Centro Interdisciplinario de Salud Mental, C.S.P

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2334 Issued in PR

Legal business name

CENTRO INTERDISCIPLINARIO DE SALUD MENTAL, C.S.P

Practice address

Centro Caribe Building 2053
Ponce by Pass Suite 205
Ponce, PR 00717-1308

Phone

(787) 453-8666

Fax

(787) 841-4170

NPI assigned

Jul 17, 2006

Organization subpart

No

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

Authorized official

Name

Carlos A Lado-Cornejo, MD

Title

President

Phone

(787) 453-8666

Specialties & licenses 2

Addresses

Other names 1

• CISME Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maritza Ortiz Acosta, M.D.

  • Psychiatry Physician
  • Ponce, PR
  • NPI 1427077528
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1396763561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632",
            "city": "MERCEDITA",
            "state": "PR",
            "postal_code": "007150632",
            "telephone_number": "787-453-8666",
            "fax_number": "787-841-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO CARIBE BUILDING 2053",
            "address_2": "PONCE BY PASS SUITE 205",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171308",
            "telephone_number": "787-453-8666",
            "fax_number": "787-841-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO INTERDISCIPLINARIO DE SALUD MENTAL, C.S.P",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "LADO-CORNEJO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-453-8666",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "PR",
            "license": "2334",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "12657",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CISME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Centro de Salud Conductual de Ponce
• Centro de Servicios Psicologicos Resurgir, P.S.C.
• Centro de Terapia Amor
• Centro de Terapia Inisia LLC
• Centro Diva, Inc
• Centro Interdisciplinario Psicoeducativo
• Centro Medicina Familia Hospital Dr Pila
• Centro Medicina Pimaria Dr. Pimentel Lebron, Inc.
• Centro Medico Policlinicas de Puerto Rico, Inc.
• Centro Oftalmologico Dr Vazguez Diaz

• Psychologist in Ponce, PR
• Providers in Ponce, PR by specialty
• Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.