Provider Demographics
NPI:1003232620
Name:CENTRO DE CONSEJERIA ABRIENDO PUERTAS
Entity Type:Organization
Organization Name:CENTRO DE CONSEJERIA ABRIENDO PUERTAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRADOR Y COORDINADOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:GIERBOLINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-449-4082
Mailing Address - Street 1:AVE. ROBERTO CLEMENTE BLQ 132 #13 VILLA CAROLINA
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00985
Mailing Address - Country:US
Mailing Address - Phone:787-925-1465
Mailing Address - Fax:
Practice Address - Street 1:AVE. ROBERTO CLEMENTE BLQ 132 #13 VILLA CAROLINA
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985
Practice Address - Country:US
Practice Address - Phone:787-925-1465
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-06
Last Update Date:2014-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2148101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty