Organization Active NPI

Dlis Wellness Salud Mental

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Jan, PR
National Provider Identifier
1689249609
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DLIS WELLNESS SALUD MENTAL
Practice address
Park Gardens Calle Gettysburg T10
San Jan, PR 00926-2157
Phone
(828) 489-7002
Fax
(828) 595-2716
NPI assigned
May 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Authorized official

Name
Damaris Cortes-Figueroa, LCMHCNPI 1740639343
Title
Counselor
Phone
(828) 489-7002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

Park Gardens Calle Gettysburg T10
San Jan, PR 00926-2157

Mailing address

Park Gardens Calle Gettysburg T10
San Jan, PR 00926-2157
Phone (828) 489-7002

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1689249609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PARK GARDENS CALLE GETTYSBURG T10",
            "city": "SAN JAN",
            "state": "PR",
            "postal_code": "009262157",
            "telephone_number": "828-489-7002",
            "fax_number": "828-595-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PARK GARDENS CALLE GETTYSBURG T10",
            "city": "SAN JAN",
            "state": "PR",
            "postal_code": "009262157",
            "telephone_number": "828-489-7002",
            "fax_number": "828-595-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DLIS WELLNESS SALUD MENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "CORTES-FIGUEROA",
        "authorized_official_first_name": "DAMARIS",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "828-489-7002",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.