Provider Demographics
NPI:1194179614
Name:CENTRO DE AYUDA A VICTIMAS DE VIOLACION
Entity Type:Organization
Organization Name:CENTRO DE AYUDA A VICTIMAS DE VIOLACION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GERENTE
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:REBECCA
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-756-0910
Mailing Address - Street 1:20 CALLE MARTINEZ NADAL
Mailing Address - Street 2:201
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00965-5143
Mailing Address - Country:US
Mailing Address - Phone:787-756-0910
Mailing Address - Fax:787-765-7840
Practice Address - Street 1:20 CALLE MARTINEZ NADAL
Practice Address - Street 2:201
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00965-5143
Practice Address - Country:US
Practice Address - Phone:787-756-0910
Practice Address - Fax:787-765-7840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-21
Last Update Date:2016-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management