NPIMap

Organization Active NPI

Centro Pray the Lord Incorporated

Doing business as Pray the Lord

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Carolina, PR
National Provider Identifier
1497257463
Registry record updated Mar 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
License
9855 Issued in PR
Legal business name
CENTRO PRAY THE LORD INCORPORATED
Doing business as
Pray the Lord
Practice address
Carr 3 KM 11.6
Bo Martin Gonzalez
Carolina, PR 00986
Phone
(787) 358-4139
Fax
(256) 886-2900
NPI assigned
Mar 6, 2018
Last updated
Mar 6, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2018

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

Authorized official

Name
Dr. Regino Cruz Olivo, MDNPI 1659311611
Title
Vice President
Phone
(787) 614-3006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084A0401X 9855 PR Primary

Addresses

Primary practice location

Carr 3 KM 11.6
Bo Martin Gonzalez
Carolina, PR 00986

Mailing address

Carr 3 KM 11.6
Bo Martin Gonzalez
Carolina, PR 00986
Phone (787) 358-4139

Other names 1

  • Pray the Lord Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520294400000",
    "number": "1497257463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARR 3 KM 11.6",
            "address_2": "BO MARTIN GONZALEZ",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00986",
            "telephone_number": "787-358-4139",
            "fax_number": "256-886-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 3 KM 11.6",
            "address_2": "BO MARTIN GONZALEZ",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00986",
            "telephone_number": "787-358-4139",
            "fax_number": "256-886-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO PRAY THE LORD INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-03-06",
        "status": "A",
        "authorized_official_last_name": "CRUZ OLIVO",
        "authorized_official_first_name": "REGINO",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "787-614-3006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "PR",
            "license": "9855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pray the Lord",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; 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.