Provider Demographics
NPI:1790998037
Name:CENTRO DE RECUPERACION DEL CARIBE
Entity Type:Organization
Organization Name:CENTRO DE RECUPERACION DEL CARIBE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTORA
Authorized Official - Prefix:
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:I
Authorized Official - Last Name:CASALDUC
Authorized Official - Suffix:
Authorized Official - Credentials:PSY,D
Authorized Official - Phone:787-847-6700
Mailing Address - Street 1:HC-01 BOX 4745
Mailing Address - Street 2:
Mailing Address - City:VILLALBA
Mailing Address - State:PR
Mailing Address - Zip Code:00766
Mailing Address - Country:US
Mailing Address - Phone:787-847-6700
Mailing Address - Fax:787-847-6700
Practice Address - Street 1:EDIF. SAN GERARDO SUITE 207 G
Practice Address - Street 2:BO. TIERRA SANTA CARR. 149 KM 58.0
Practice Address - City:VILLALBA
Practice Address - State:PR
Practice Address - Zip Code:00766
Practice Address - Country:US
Practice Address - Phone:787-847-6700
Practice Address - Fax:787-847-6700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty