Provider Demographics
NPI:1730469891
Name:PUERTO RICAN FAMILY INSTITUTE
Entity Type:Organization
Organization Name:PUERTO RICAN FAMILY INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:R
Authorized Official - Last Name:SOLANO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:201-610-1446
Mailing Address - Street 1:35 JOURNAL SQ
Mailing Address - Street 2:SUITE 528
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-4007
Mailing Address - Country:US
Mailing Address - Phone:201-610-1446
Mailing Address - Fax:201-610-9426
Practice Address - Street 1:35 JOURNAL SQ
Practice Address - Street 2:SUITE 528
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-4007
Practice Address - Country:US
Practice Address - Phone:201-610-1446
Practice Address - Fax:201-610-9426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-22
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00369900251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health