Provider Demographics
NPI:1043739626
Name:CENTRO DE ORIENTACION Y AYUDA PSIQUIATRICA INC.
Entity Type:Organization
Organization Name:CENTRO DE ORIENTACION Y AYUDA PSIQUIATRICA INC.
Other - Org Name:COPA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ORG
Authorized Official - Prefix:
Authorized Official - First Name:HOSPITAL
Authorized Official - Middle Name:
Authorized Official - Last Name:PARCIAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-256-0273
Mailing Address - Street 1:PO BOX 9915
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00988-9915
Mailing Address - Country:US
Mailing Address - Phone:787-256-0273
Mailing Address - Fax:787-876-7856
Practice Address - Street 1:MARGINAL BALHUINIA
Practice Address - Street 2:LOIZA VALLEY SHOPPING CENTER LOCAL AA6
Practice Address - City:CANVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729
Practice Address - Country:US
Practice Address - Phone:787-256-0273
Practice Address - Fax:787-876-7856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRFB109AMedicaid