Provider Demographics
NPI:1801197033
Name:INSTITUTO TERAPIA FAMILIAR
Entity Type:Organization
Organization Name:INSTITUTO TERAPIA FAMILIAR
Other - Org Name:INOTEF
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ALMA
Authorized Official - Middle Name:IRIS
Authorized Official - Last Name:PAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MGO
Authorized Official - Phone:787-746-5756
Mailing Address - Street 1:GAUTIER BENITEZ PLAZA SAN ALFONSO
Mailing Address - Street 2:PO BOX 861 SUITE 190
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725
Mailing Address - Country:US
Mailing Address - Phone:787-746-5756
Mailing Address - Fax:787-746-3080
Practice Address - Street 1:190 CALLE GAUTIER BENITEZ
Practice Address - Street 2:PLAZA SAN ALFONSO
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-5548
Practice Address - Country:US
Practice Address - Phone:787-746-5756
Practice Address - Fax:787-746-3080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-04
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty