Programa de Servicio Residencial Para Ninos Y Adolescentes

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

PROGRAMA DE SERVICIO RESIDENCIAL PARA NINOS Y ADOLESCENTES

Practice address

Carr #2 KM 8.2
Bayamon, PR 00959

Phone

(787) 783-0750

Fax

(787) 781-8129

NPI assigned

Jun 5, 2007

Organization subpart

No

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

Authorized official

Name

Jimmy B'Aez Salgado Sr.

Title

Director de Facturacion

Phone

(787) 763-7575

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• ASSMCA Other name

Tax ID family

Assmca2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Servicios Medicos Universitarios Inc

  • General Acute Care Hospital
  • Carolina, PR
  • NPI 1023107182
  NPD tax ID

Practitioners 4

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

• Nilka L Benitez, CRMC

  • Professional Counselor
  • San Juan, PR
  • NPI 1033302021
  NPD (past)
• Jesus Joel Rosario

  • Driver
  • San Juan, PR
  • NPI 1689886343
  NPD (past)
• Migdalia Zenon, MRC

  • Rehabilitation Counselor
  • San Juan, PR
  • NPI 1407049687
  NPD (past)
• Gladys Sylvette Rivera

  • Mental Health Counselor
  • Springfield, MA
  • NPI 1790986412
  NPD (past)

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1487856902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607087",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009607087",
            "telephone_number": "787-763-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR #2 KM 8.2",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-783-0750",
            "fax_number": "787-781-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRAMA DE SERVICIO RESIDENCIAL PARA NINOS Y ADOLESCENTES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "B'AEZ SALGADO",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "DIRECTOR DE FACTURACION",
        "authorized_official_telephone_number": "787-763-7575",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "PR",
            "license": "10835",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0807X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038813200",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASSMCA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Professional Therapy & Health Services, PSC
• Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas, Inc
• Progresa En Todo CSP
• Promise Medical P.S.C.
• Pronet Behavioral Health Services Inc
• Pronet Managed Care Services Inc

• All providers in Bayamon, PR
• 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 Jul 1, 2021; 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.