Clinica de Tratamiento Psicoterapeutico

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

CDTD-0176 Issued in PR

Legal business name

CLINICA DE TRATAMIENTO PSICOTERAPEUTICO

Practice address

Carr. Num. 2 KM. 11.2 Altos de Mundo Travel
Bayamon, PR 00959-3054

Phone

(787) 785-3448

Fax

(787) 778-2868

NPI assigned

Mar 9, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jose L. Herrera

Title

Director

Phone

(787) 785-3448

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710019666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VIA SAN JOSE C 24",
            "address_2": "URBANIZACION ESTANCIA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009593054",
            "telephone_number": "787-780-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. NUM. 2 KM. 11.2 ALTOS DE MUNDO TRAVEL",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009593054",
            "telephone_number": "787-785-3448",
            "fax_number": "787-778-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DE TRATAMIENTO PSICOTERAPEUTICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-785-3448"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "PR",
            "license": "CDTD-0176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "1-7155",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FHC",
            "identifier": "458979",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Bayamon, PR
• Providers in Bayamon, PR by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.