Clinica Interdiscplinaria de la Salud de la Pucpr

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

CLINICA INTERDISCPLINARIA DE LA SALUD DE LA PUCPR

Practice address

2250 Ave Las Americas
Suite 631
Ponce, PR 00717-0655

Phone

(787) 841-2000

NPI assigned

Aug 4, 2009

Organization subpart

No

Name

Ada Iris Kercado, M.ED.

Title

Director

Phone

(787) 841-2000

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 4, 2009.

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249344000000",
    "number": "1740411024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 AVE LAS AMERICAS",
            "address_2": "SUITE 631",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170655",
            "telephone_number": "787-841-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 AVE LAS AMERICAS",
            "address_2": "SUITE 631",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170655",
            "telephone_number": "787-841-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA INTERDISCPLINARIA DE LA SALUD DE LA PUCPR",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-04",
        "last_updated": "2009-08-04",
        "status": "A",
        "authorized_official_last_name": "KERCADO",
        "authorized_official_first_name": "ADA",
        "authorized_official_middle_name": "IRIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-841-2000",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinica del Dr Malave
• Clinica Diaz PSC
• Clinica Familiar Coto Laurel Inc
• Clinica Las Americas Guaynabo
• Clinica Las Americas Guaynabo
• Clinica Las Americas Guaynabo, Inc
• Clinica Las Americas Guaynabo, Inc
• Clinica Philosophy of Life LLC

• All providers in Ponce, PR
• Adult Mental Health Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; 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.