NPIMap

Organization Active NPI

Institute for Individual, Group and Organizational Development, Inc.

  • Clinical Social Worker
  • Gurabo, PR
National Provider Identifier
1447503404
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
INSTITUTE FOR INDIVIDUAL, GROUP AND ORGANIZATIONAL DEVELOPMENT, INC.
Practice address
53 Calle Santiago N
Gurabo, PR 00778-2438
Phone
(787) 737-7636
Fax
(787) 737-7636
NPI assigned
Oct 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Authorized official

Name
Mrs. Gloria M. Molina, MSW
Title
Directora Ejecutiva
Phone
(787) 737-7636

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

53 Calle Santiago N
Gurabo, PR 00778-2438

Mailing address

PO Box 1348
Gurabo, PR 00778-1348
Phone (787) 737-7636

Other names 1

  • Programa AFANA Other name

National Provider Directory

National Provider Directory

Locations

53 Calle Santiago N
Gurabo, PR 00778
Phone (787) 645-7789

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1447503404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1348",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007781348",
            "telephone_number": "787-737-7636",
            "fax_number": "787-737-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 CALLE SANTIAGO N",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007782438",
            "telephone_number": "787-737-7636",
            "fax_number": "787-737-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR INDIVIDUAL, GROUP AND ORGANIZATIONAL DEVELOPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-16",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DIRECTORA EJECUTIVA",
        "authorized_official_telephone_number": "787-737-7636",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Programa AFANA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gurabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; 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.