Provider Demographics
NPI:1578658647
Name:COMMUNITY CORNERSTONES INC
Entity Type:Organization
Organization Name:COMMUNITY CORNERSTONES INC
Other - Org Name:COMMUNITY CORNERSTONE OF PUERTO RICO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF AMBULATORY SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAFITA
Authorized Official - Suffix:
Authorized Official - Credentials:RN MSN
Authorized Official - Phone:787-622-9797
Mailing Address - Street 1:1549 CALLE ALDA
Mailing Address - Street 2:URBANIZACION CARIBE
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-2709
Mailing Address - Country:US
Mailing Address - Phone:787-622-9797
Mailing Address - Fax:787-622-9888
Practice Address - Street 1:URBANIZACION SANTA MARIA SHOPPING CENTER OFICINA 234
Practice Address - Street 2:COMMUNITY CORNERSTONES, INC.
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00731-0000
Practice Address - Country:US
Practice Address - Phone:787-651-0030
Practice Address - Fax:787-651-0033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR22283Medicare PIN