Provider Demographics
NPI:1679343834
Name:CENTRO DE TERAPIA JRG INC
Entity Type:Organization
Organization Name:CENTRO DE TERAPIA JRG INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:HIPOLITA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA CRESPO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-397-7323
Mailing Address - Street 1:305 CALLE CACERES
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00923-1905
Mailing Address - Country:US
Mailing Address - Phone:787-756-5779
Mailing Address - Fax:
Practice Address - Street 1:305 CALLE CACERES
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00923-1905
Practice Address - Country:US
Practice Address - Phone:787-756-5779
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth ServiceGroup - Multi-Specialty