NPIMap

Organization Active NPI

Puerto Rican Family Institute, Inc.

  • Community/Behavioral Health Agency
  • Brooklyn, NY
National Provider Identifier
1609980762
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6758102A Issued in NY
Legal business name
PUERTO RICAN FAMILY INSTITUTE, INC.
Practice address
12 Park St Lowr Level
Brooklyn, NY 11206-4541
Phone
(718) 963-4430
Fax
(646) 398-2794
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Authorized official

Name
Mr. Luis A Rodriguez
Title
Chief Executive Official Officer
Phone
(212) 924-6320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6758102A NY Primary

Addresses

Primary practice location

12 Park St Lowr Level
Brooklyn, NY 11206-4541

Mailing address

145 W 15TH St FL 2
New York, NY 10011-6701
Phone (212) 924-6320

Other practice location 1

28 Debevoise St Ste 5
Brooklyn, NY 11206-4194
Phone (718) 963-4430

Other practice location 2

217 Havemeyer St Fl 4
Brooklyn, NY 11211-6277
Phone (718) 963-4430

Other identifiers 1

IdentifierTypeStateIssuer
00244880MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040308000344 NY Part B Supplier - Clinic/Group Practice 7517855042 Receives reassigned benefits from 24 practitioners
3 other NPIs on this enrollment
Practice locations: Bronx, NY; Brooklyn, NY; New York, NY

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Puerto Rican Family Institute Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Practitioners & affiliated clinicians

Practitioners 45

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

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1609980762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 W 15TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100116701",
            "telephone_number": "212-924-6320",
            "fax_number": "646-306-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 PARK ST LOWR LEVEL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112064541",
            "telephone_number": "718-963-4430",
            "fax_number": "646-398-2794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28 Debevoise St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112064194",
            "country_code": "US",
            "telephone_number": "718-963-4430",
            "fax_number": "646-398-2794",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "217 Havemeyer St Fl 4",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112116277",
            "country_code": "US",
            "telephone_number": "718-963-4430",
            "fax_number": "718-963-0814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PUERTO RICAN FAMILY INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICIAL OFFICER",
        "authorized_official_telephone_number": "212-924-6320",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "6758102A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00244880",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.