Organization Active NPI

CDT Asociacion de Maestros Mayaguez

Doing business as CDTMayaguez

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Juan, PR
National Provider Identifier
1609280072
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
134 Issued in PR
Legal business name
CDT ASOCIACION DE MAESTROS MAYAGUEZ
Doing business as
CDTMayaguez
Practice address
452 Ave Ponce de Leon
San Juan, PR 00918-3490
Phone
(787) 763-5560
Fax
(787) 767-6600
NPI assigned
Jun 13, 2014
Last updated
Jun 13, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
ASOCIACION DE MAESTROS DE PUERTO RICOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

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

Authorized official

Name
Mrs. Antonia Andino Rivera, MHSA
Title
CDT Administrator
Phone
(787) 763-5560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 134 PR Primary

Addresses

Primary practice location

452 Ave Ponce de Leon
San Juan, PR 00918-3490

Mailing address

452 Ave Ponce de Leon
San Juan, PR 00918-3490
Phone (787) 763-5560

Other names 1

  • CDTMayaguez Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Asociacion de Maestros de P5 organizations share this tax ID, including this one
Part of
Asociacion de Maestros de P

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402617600000",
    "number": "1609280072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 AVE PONCE DE LEON",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183490",
            "telephone_number": "787-763-5560",
            "fax_number": "787-767-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 AVE PONCE DE LEON",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183490",
            "telephone_number": "787-763-5560",
            "fax_number": "787-767-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDT ASOCIACION DE MAESTROS MAYAGUEZ",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASOCIACION DE MAESTROS DE PUERTO RICO",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-06-13",
        "status": "A",
        "authorized_official_last_name": "ANDINO RIVERA",
        "authorized_official_first_name": "ANTONIA",
        "authorized_official_title_or_position": "CDT ADMINISTRATOR",
        "authorized_official_telephone_number": "787-763-5560",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MHSA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PR",
            "license": "134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CDTMayaguez",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; 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.