Substance Abuse and Mental Health Services Administration

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

15500 Issued in PR

Legal business name

SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION

Practice address

Ave Laurel Santa Juanita
Hosp Dr Ramon Ruiz Arnau
Bayamon, PR 00920-3860

Phone

(178) 778-6362

Fax

(787) 781-8129

NPI assigned

Jun 8, 2007

Last updated

Sep 30, 2008By 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

Miss Carmen B Avino, RN

Title

General Nurse Supervisor

Phone

(787) 786-3620

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1770786410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE EMANUELLI",
            "address_2": "205 APT.1",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009174100",
            "telephone_number": "787-783-0750",
            "fax_number": "787-781-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE LAUREL SANTA JUANITA",
            "address_2": "HOSP DR RAMON RUIZ ARNAU",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009203860",
            "telephone_number": "178-778-6362",
            "fax_number": "787-781-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "AVINO",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "GENERAL NURSE SUPERVISOR",
        "authorized_official_telephone_number": "17877863620",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "PR",
            "license": "15500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen M. Suarez, M.D.
• Heriberto Suarez
• Melba Virginia Suarez, RPH
• Ramon Suarez, M.D.
• Ivan Oscar Subervi
• Aida Maria Sued, P.T.
• Wasilah Suleiman-Suleiman, M.D.
• Sunset Medical Services Inc.
• Super Farmacia la Economia
• Super Farmacia Santa Monica

• Emotionally Disturbed Childrens' Residential Treatment Facility in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; 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.