Provider Demographics
NPI:1659337699
Name:N.O.R. COMMUNITY MENTAL HEALTH, CORP.
Entity Type:Organization
Organization Name:N.O.R. COMMUNITY MENTAL HEALTH, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRADORA
Authorized Official - Prefix:
Authorized Official - First Name:VIVIAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:FIGUEROA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-716-0050
Mailing Address - Street 1:PO BOX 1522
Mailing Address - Street 2:
Mailing Address - City:LAS PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00771-1522
Mailing Address - Country:US
Mailing Address - Phone:787-716-0050
Mailing Address - Fax:787-733-1655
Practice Address - Street 1:CARR. 198 KM. 22.0
Practice Address - Street 2:BO. MONTONES I
Practice Address - City:LAS PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00771
Practice Address - Country:US
Practice Address - Phone:787-716-0050
Practice Address - Fax:787-733-1655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-26
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRGPSM0008261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0089216Medicare ID - Type Unspecified