NPIMap

Organization Active NPI

Clinica de Ninos Y Adolescentes Caguas

  • Adolescent and Children Mental Health Clinic/Center
  • Caguas, PR
National Provider Identifier
1669898870
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
CTABA-0054 Issued in PR
Legal business name
CLINICA DE NINOS Y ADOLESCENTES CAGUAS
Practice address
Edificio Angora
#162 Calle Gautier Benitez
Caguas, PR 00725
Phone
(787) 745-0630
Fax
(787) 745-0630
NPI assigned
Mar 12, 2014
Last updated
Mar 12, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
ADMINISTRACION DE SERVICIOS DE SALUD MENTAL Y CONTRA LA ADICCIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

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

Authorized official

Name
Mr. Jose Flores, JD
Title
Adminsitrator
Phone
(787) 763-7575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X CTABA-0054 PR Primary

Addresses

Primary practice location

Edificio Angora
#162 Calle Gautier Benitez
Caguas, PR 00725

Mailing address

Edificio Angora
#162 Calle Gautier Benitez
Caguas, PR 00725
Phone (787) 745-0630

Other identifiers 1

IdentifierTypeStateIssuer
9418MedicaidPR

Other names 1

  • UTAINAF CAGUAS Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Centro Residencial de Varones de San Juan28 organizations share this tax ID, including this one
Part of
Centro Residencial de Varones de San Juan

Other organizations with this tax ID 27

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

View all 27

Locations

162 Calle Gautier Benitez
Caguas, PR 00725
Phone (787) 745-0630

NPI Registry JSON

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1669898870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EDIFICIO ANGORA",
            "address_2": "#162 CALLE GAUTIER BENITEZ",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-745-0630",
            "fax_number": "787-745-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO ANGORA",
            "address_2": "#162 CALLE GAUTIER BENITEZ",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-745-0630",
            "fax_number": "787-745-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DE NINOS Y ADOLESCENTES CAGUAS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADMINISTRACION DE SERVICIOS DE SALUD MENTAL Y CONTRA LA ADICCION",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "ADMINSITRATOR",
        "authorized_official_telephone_number": "787-763-7575",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "PR",
            "license": "CTABA-0054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9418",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UTAINAF CAGUAS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.