Centro Pray the Lord Incorporated

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

License

9855 Issued in PR

Legal business name

CENTRO PRAY THE LORD INCORPORATED

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

Organization subpart

No

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

Authorized official

Name

Dr. Regino Cruz Olivo, MD

Title

Vice President

Phone

(787) 614-3006

Specialties & licenses 1

Addresses

Other names 1

• Pray the Lord Doing business as

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"
        }
    ]
}

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• Addiction Medicine (Psychiatry & Neurology) Physician in Carolina, PR
• Providers in Carolina, PR by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in Puerto Rico

• 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.