Provider Demographics
NPI:1497423628
Name:DE LA PAZ - CPL, C.S.P.
Entity Type:Organization
Organization Name:DE LA PAZ - CPL, C.S.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:I
Authorized Official - Last Name:DE LA PAZ TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-904-0084
Mailing Address - Street 1:PMB 173
Mailing Address - Street 2:267 CALLE SIERRA MORENA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-904-0084
Mailing Address - Fax:
Practice Address - Street 1:988 AVE MUNOZ RIVERA STE 23
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927-4309
Practice Address - Country:US
Practice Address - Phone:787-904-0084
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-02
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty