Corda of PR Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

CTRSA-0243 Issued in PR

Legal business name

CORDA OF PR INC

Practice address

Carr 910 Int KM 4.3 Bo Catano
Humacao, PR 00792

Phone

(787) 636-4741

Fax

(787) 285-1890

NPI assigned

Apr 26, 2011

Last updated

Apr 26, 2011By 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

Dr. Gilbert Rodriguez, LHD, DD, TAC III

Title

Ceo

Phone

(787) 636-5443

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1720379704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007920220",
            "telephone_number": "787-636-4741",
            "fax_number": "787-285-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 910 INT KM 4.3 BO CATANO",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00792",
            "telephone_number": "787-636-4741",
            "fax_number": "787-285-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORDA OF PR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-26",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "787-636-5443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LHD, DD, TAC III"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "PR",
            "license": "CTRSA-0243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Steven Cordova, MD
• Corp Fondo Seguro del Estado-Humacao
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• Substance Abuse Rehabilitation Facility in Humacao, PR
• Providers in Humacao, PR by specialty
• Substance Abuse Rehabilitation Facility in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.