Provider Demographics
NPI:1407989312
Name:HEALING INTEGRATIVE ALLIANCE, PSC
Entity Type:Organization
Organization Name:HEALING INTEGRATIVE ALLIANCE, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:
Authorized Official - First Name:NELSO
Authorized Official - Middle Name:
Authorized Official - Last Name:FIGUEROA MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:787-359-1689
Mailing Address - Street 1:PO BOX 685
Mailing Address - Street 2:
Mailing Address - City:NARANJITO
Mailing Address - State:PR
Mailing Address - Zip Code:00719-0685
Mailing Address - Country:US
Mailing Address - Phone:787-359-1689
Mailing Address - Fax:
Practice Address - Street 1:312 CALLE MUNOZ RIVERA
Practice Address - Street 2:PROFESSIONAL CENTER BUILDING CENTER
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00727
Practice Address - Country:US
Practice Address - Phone:787-746-3234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health