Administracion de Servicios de Salud Mental Y Contra la Adiccion

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

014308 Issued in PR

Legal business name

ADMINISTRACION DE SERVICIOS DE SALUD MENTAL Y CONTRA LA ADICCION

Practice address

Repto Kennedy #74 D
Penuelas, PR 00624

Phone

(787) 840-6835

NPI assigned

May 3, 2007

Organization subpart

No

Name

Ada Matos

Title

Directora

Phone

(787) 840-6835

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 13, 2008.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1972725596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "REPTO KENNEDY #74 D",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "00624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "REPTO KENNEDY #74 D",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "00624",
            "telephone_number": "787-840-6835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADMINISTRACION DE SERVICIOS DE SALUD MENTAL Y CONTRA LA ADICCION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "MATOS",
        "authorized_official_first_name": "ADA",
        "authorized_official_title_or_position": "DIRECTORA",
        "authorized_official_telephone_number": "787-840-6835"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "PR",
            "license": "014308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.