Provider Demographics
NPI:1346611068
Name:MENTAL HEALTH CARE SYSTEMS LLC
Entity Type:Organization
Organization Name:MENTAL HEALTH CARE SYSTEMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY/ PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JUSTO
Authorized Official - Middle Name:X
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-961-6160
Mailing Address - Street 1:PO BOX 2054
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-2054
Mailing Address - Country:US
Mailing Address - Phone:787-961-6160
Mailing Address - Fax:
Practice Address - Street 1:47 CALLE RUIZ BELVIS
Practice Address - Street 2:ESQ. CALLE CORCHADO
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-961-6160
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-08
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)