NPIMap

Organization Active NPI

Administracion de Services de Salud Mental Contra la Addicion

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fajardo, PR
National Provider Identifier
1689244121
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
ADMINISTRACION DE SERVICES DE SALUD MENTAL CONTRA LA ADDICION
Practice address
148 Ave Osvaldo Moolina Esquina General Valero
Fajardo, PR 00738
Phone
(787) 860-0967
NPI assigned
Jun 28, 2021
Organization subpart
Yes
Parent organization
ADMINISTRACION DE SERVICES DE SALUD MENTAL CONTRA LA ADDICIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Authorized official

Name
Awilda Alvarado, PHD
Title
Manager
Phone
(787) 860-0967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

148 Ave Osvaldo Moolina Esquina General Valero
Fajardo, PR 00738

Mailing address

148 Ave Osvaldo Moolina Esquina General Valero
Fajardo, PR 00738
Phone (787) 860-0967

Other names 1

  • Centro de Tratamiento Ambulatorio Fajardo Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Programa de Servicio Residencial Para Ninos Y Adolescentes28 organizations share this tax ID, including this one
Part of
Programa de Servicio Residencial Para Ninos Y Adolescentes

Other organizations with this tax ID 27

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

View all 27

Locations

148 Ave Osvaldo Molina
Fajardo, PR 00738
Phone (787) 860-0967

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1689244121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 AVE OSVALDO MOOLINA ESQUINA GENERAL VALERO",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-860-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 AVE OSVALDO MOOLINA ESQUINA GENERAL VALERO",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-860-0967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADMINISTRACION DE SERVICES DE SALUD MENTAL CONTRA LA ADDICION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADMINISTRACION DE SERVICES DE SALUD MENTAL CONTRA LA ADDICION",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "ALVARADO",
        "authorized_official_first_name": "AWILDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "787-860-0967",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centro de Tratamiento Ambulatorio Fajardo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fajardo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.