Provider Demographics
NPI:1184832669
Name:CESA- ACCESA CORP
Entity Type:Organization
Organization Name:CESA- ACCESA CORP
Other - Org Name:CUARESMA
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT & FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:COSTA
Authorized Official - Suffix:
Authorized Official - Credentials:DD,MA,MHS, MAC, LSAC
Authorized Official - Phone:787-241-9660
Mailing Address - Street 1:151 CALLE ZIRCONIA
Mailing Address - Street 2:PRADOS DORADO SUR
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-9654
Mailing Address - Country:US
Mailing Address - Phone:787-796-5654
Mailing Address - Fax:
Practice Address - Street 1:25 ST, C- 21, OF 3
Practice Address - Street 2:FOREST HILLS
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956
Practice Address - Country:US
Practice Address - Phone:787-796-5654
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR0016101YA0400X, 101YP1600X, 101YP2500X, 103T00000X, 1041C0700X, 106H00000X, 261QM0801X, 261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
Not Answered101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Single Specialty
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Not Answered261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Not Answered261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder