Provider Demographics
NPI:1356672968
Name:CONSULTORES PSICOLOGICOS ASOCIADOS INC.
Entity Type:Organization
Organization Name:CONSULTORES PSICOLOGICOS ASOCIADOS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORGANIZATION PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HERNAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PLAZAS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYCHOLOGIST
Authorized Official - Phone:787-538-4001
Mailing Address - Street 1:PO BOX 2188
Mailing Address - Street 2:
Mailing Address - City:SAN GERMAN
Mailing Address - State:PR
Mailing Address - Zip Code:00683-2188
Mailing Address - Country:US
Mailing Address - Phone:787-538-4001
Mailing Address - Fax:787-265-6644
Practice Address - Street 1:8 CALLE RAMOS ANTONINI
Practice Address - Street 2:SUITE 205 (2DO PISO)
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-4931
Practice Address - Country:US
Practice Address - Phone:787-538-4001
Practice Address - Fax:787-265-6644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-21
Last Update Date:2010-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR27667302R00000X, 320800000X, 324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility