Provider Demographics
NPI:1639577216
Name:PUERTO RICO DOWN SYNDROME FOUNDATION, INC
Entity Type:Organization
Organization Name:PUERTO RICO DOWN SYNDROME FOUNDATION, INC
Other - Org Name:FUNDACION PUERTORRIQUENA SINDROME DOWN
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CORA
Authorized Official - Middle Name:H
Authorized Official - Last Name:ARCE
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:787-479-8440
Mailing Address - Street 1:PO BOX 195273
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00919-5273
Mailing Address - Country:US
Mailing Address - Phone:787-283-8210
Mailing Address - Fax:787-283-8220
Practice Address - Street 1:CAMINO LOS ROSA 323, CARRETERA 199 INT.
Practice Address - Street 2:SECTOR EL CAPA, CUPEY BAJO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-283-8210
Practice Address - Fax:787-283-8220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-12
Last Update Date:2014-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR025387251C00000X
PR013252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251C00000XAgenciesDay Training, Developmentally Disabled Services