NPIMap

Organization Active NPI

Municipality of San Juan

  • Adult Mental Health Clinic/Center
  • San Juan, PR
National Provider Identifier
1639582844
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
101 CNC NUM 78-262 Issued in PR
Legal business name
MUNICIPALITY OF SAN JUAN
Practice address
Calle Cerra Final Esq Calle Hoare #900
San Juan, PR 00928-1405
Phone
(787) 480-3828
Fax
(787) 977-8401
NPI assigned
Jun 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Authorized official

Name
Mr. Elliott Santiago Concepcion, PHD MBA
Title
Physocological Service Supervisor
Phone
(787) 480-3828

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 101 CNC NUM 78-262 PR Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 101 CNC 78-262 PR

Addresses

Primary practice location

Calle Cerra Final Esq Calle Hoare #900
San Juan, PR 00928-1405

Mailing address

PO Box 21405
San Juan, PR 00928-1405
Phone (787) 480-3828

Other names 1

  • Grupo Clinico Salud Mental CDT Dr. Gualberto Rabell Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CDT Dr a J Garcia63 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1639582844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21405",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009281405",
            "telephone_number": "787-480-3828",
            "fax_number": "787-977-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE CERRA FINAL ESQ CALLE HOARE #900",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009281405",
            "telephone_number": "787-480-3828",
            "fax_number": "787-977-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNICIPALITY OF SAN JUAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "CONCEPCION",
        "authorized_official_first_name": "ELLIOTT",
        "authorized_official_middle_name": "SANTIAGO",
        "authorized_official_title_or_position": "PHYSOCOLOGICAL SERVICE SUPERVISOR",
        "authorized_official_telephone_number": "787-480-3828",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD MBA"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PR",
            "license": "101 CNC NUM 78-262",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "PR",
            "license": "101 CNC 78-262",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grupo Clinico Salud Mental CDT Dr. Gualberto Rabell",
            "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 5, 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.