Professional Therapy & Health Services, PSC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12842 Issued in PR

Legal business name

PROFESSIONAL THERAPY & HEALTH SERVICES, PSC

Practice address

Cond Magnolia GDNS
P-12
Bayamon, PR 00956-7100

Phone

(787) 785-9282

Fax

(787) 200-0482

NPI assigned

Apr 21, 2015

Last updated

Apr 21, 2015By 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. Edmond Medina Hernandez, DPM

Title

President

Phone

(787) 785-9282

Specialties & licenses 1

Addresses

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.

• Daniel Miranda Fonseca, MSW

  • Clinical Social Worker
  • Bayamon, PR
  • NPI 1659758399
  NPD (past)

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1891182499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND MAGNOLIA GDNS",
            "address_2": "P-12",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009567100",
            "telephone_number": "787-785-9282",
            "fax_number": "787-200-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COND MAGNOLIA GDNS",
            "address_2": "P-12",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009567100",
            "telephone_number": "787-785-9282",
            "fax_number": "787-200-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL THERAPY & HEALTH SERVICES, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "MEDINA HERNANDEZ",
        "authorized_official_first_name": "EDMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-785-9282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "12842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Therapy & Health Services PSC.
• Programa de Servicio Residencial Para Ninos Y Adolescentes
• Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas, Inc
• Progresa En Todo CSP
• Promise Medical P.S.C.
• Pronet Behavioral Health Services Inc

• Clinical Social Worker in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Clinical Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.