Provider Demographics
NPI:1902204241
Name:ARMONIA CENTRO PSICOLOGICO Y EDUCATIVO INTEGRAL, IN
Entity Type:Organization
Organization Name:ARMONIA CENTRO PSICOLOGICO Y EDUCATIVO INTEGRAL, IN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRADOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:O
Authorized Official - Last Name:VELAZQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-602-5552
Mailing Address - Street 1:CIUDAD UNIVERSITARIA
Mailing Address - Street 2:AVENIDA AA, D17
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00976
Mailing Address - Country:AX
Mailing Address - Phone:787-602-5552
Mailing Address - Fax:
Practice Address - Street 1:AVE AA, D17
Practice Address - Street 2:CIUDAD UNIVERSITARIA
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976
Practice Address - Country:US
Practice Address - Phone:787-602-5552
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-19
Last Update Date:2014-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center