Organization Active NPI

Advanced Behavioral Center, Inc.

  • Adult Mental Health Clinic/Center
  • Ponce, PR
National Provider Identifier
1588965016
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ADVANCED BEHAVIORAL CENTER, INC.
Practice address
92 Calle Sol
Esquina Torres
Ponce, PR 00730-3669
Phone
(787) 841-8855
Fax
(787) 841-8855
NPI assigned
Nov 15, 2010
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Miguel H. Creales, M.D.NPI 1942224159
Title
President
Phone
(787) 841-8855

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X PR
Adult Mental Health Clinic/Center 261QM0850X PR Primary

Addresses

Primary practice location

92 Calle Sol
Esquina Torres
Ponce, PR 00730-3669

Mailing address

3181 Calle Marbella
Urb. El Monte
Ponce, PR 00716-4809
Phone (787) 841-8855

Other names 1

  • Advanced Behavioral Center INC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1289779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1588965016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 CALLE MARBELLA",
            "address_2": "URB. EL MONTE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164809",
            "telephone_number": "787-841-8855",
            "fax_number": "787-841-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 CALLE SOL",
            "address_2": "ESQUINA TORRES",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007303669",
            "telephone_number": "787-841-8855",
            "fax_number": "787-841-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED BEHAVIORAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CREALES",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-841-8855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Behavioral Center INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.