NPIMap

Organization Active NPI

Teen Challenge de Puerto Rico, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bayamon, PR
National Provider Identifier
1780486555
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
TEEN CHALLENGE DE PUERTO RICO, INC.
Practice address
Carretera #2 KM 7.7
Bayamon, PR 00958-4273
Phone
(787) 730-6908
NPI assigned
Mar 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Authorized official

Name
Jorge A Sanchez, DMIN
Title
Director Administrativo
Phone
(787) 730-6908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

Carretera #2 KM 7.7
Bayamon, PR 00958-4273

Mailing address

PO Box 4273
Bayamon, PR 00958-1273
Phone (787) 730-6908

Other identifiers 1

IdentifierTypeStateIssuer
24001OtherPRLICENCIA ASSMCA

Other names 1

  • TEEN CHALLENGE IOP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Teen Challenge de Puerto Rico Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1780486555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4273",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009581273",
            "telephone_number": "787-730-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA #2 KM 7.7",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009584273",
            "telephone_number": "787-730-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEEN CHALLENGE DE PUERTO RICO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR ADMINISTRATIVO",
        "authorized_official_telephone_number": "787-730-6908",
        "authorized_official_credential": "DMIN"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCIA ASSMCA",
            "identifier": "24001",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TEEN CHALLENGE IOP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.