Provider Demographics
NPI:1326213968
Name:ADMAR CLINICAL AND CONSULTANT SERVICES
Entity Type:Organization
Organization Name:ADMAR CLINICAL AND CONSULTANT SERVICES
Other - Org Name:DRA. ADA ELSIE COLON ZAYAS, PSYD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADA
Authorized Official - Middle Name:ELSIE
Authorized Official - Last Name:COLON ZAYAS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:787-803-2311
Mailing Address - Street 1:3 CALLE MATILDE REYES
Mailing Address - Street 2:
Mailing Address - City:COAMO
Mailing Address - State:PR
Mailing Address - Zip Code:00769-2348
Mailing Address - Country:US
Mailing Address - Phone:787-803-2311
Mailing Address - Fax:787-803-2311
Practice Address - Street 1:3 CALLE MATILDE REYES
Practice Address - Street 2:
Practice Address - City:COAMO
Practice Address - State:PR
Practice Address - Zip Code:00769-2348
Practice Address - Country:US
Practice Address - Phone:787-803-2311
Practice Address - Fax:787-803-2311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-24
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2324261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1780798256OtherNPI