NPIMap

Organization Active NPI

Luisjo Corp.

  • Adult Mental Health Clinic/Center
  • Carolina, PR
National Provider Identifier
1740691872
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
18235 Issued in PR
Legal business name
LUISJO CORP.
Practice address
4008 Ave. Sur Apt. 4401
Carolina, PR 00987
Phone
(787) 462-3218
NPI assigned
May 12, 2014
Last updated
May 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2014

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

Authorized official

Name
Luis J Rivera, MDNPI 1174771067
Title
President
Phone
(787) 462-3218

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 18235 PR
Community/Behavioral Health Agency 251S00000X 18235 PR
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 18235 PR
Adult Mental Health Clinic/Center 261QM0850X 18235 PR Primary
Psychiatric Hospital Unit 273R00000X 18235 PR
Psychiatric Hospital 283Q00000X 18235 PR

Addresses

Primary practice location

4008 Ave. Sur Apt. 4401
Carolina, PR 00987

Mailing address

4008 Ave. Sur Apt. 4401
Carolina, PR 00987

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399852800000",
    "number": "1740691872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4008 AVE. SUR APT. 4401",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4008 AVE. SUR APT. 4401",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00987",
            "telephone_number": "787-462-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUISJO CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-12",
        "last_updated": "2014-05-12",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-462-3218",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "PR",
            "license": "18235",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PR",
            "license": "18235",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PR",
            "license": "18235",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PR",
            "license": "18235",
            "primary": true
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "PR",
            "license": "18235",
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "PR",
            "license": "18235",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; 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.