Provider Demographics
NPI:1407482789
Name:CLINICA DE SERVICIOS INTEGRADOS RESPIRA
Entity Type:Organization
Organization Name:CLINICA DE SERVICIOS INTEGRADOS RESPIRA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICA PSYCHOLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:I
Authorized Official - Last Name:MERCED
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:787-502-0773
Mailing Address - Street 1:20 AVE LUIS MUNOZ MARIN
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-1956
Mailing Address - Country:US
Mailing Address - Phone:787-502-0773
Mailing Address - Fax:
Practice Address - Street 1:J1 CALLE 12
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-2098
Practice Address - Country:US
Practice Address - Phone:787-980-5606
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-18
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No2084P2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain MedicineGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty