Provider Demographics
NPI:1902378516
Name:CENTRO RESILIENTE
Entity Type:Organization
Organization Name:CENTRO RESILIENTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELING
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:J
Authorized Official - Last Name:FIGUEROA FAMILIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-399-2048
Mailing Address - Street 1:URB ELEANOR ROOSEVELT
Mailing Address - Street 2:352 FERNANDO CALDER
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918
Mailing Address - Country:US
Mailing Address - Phone:787-454-8888
Mailing Address - Fax:
Practice Address - Street 1:URB ELEANOR ROOSEVELT
Practice Address - Street 2:352 FERNANDO CALDER
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-454-8888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-20
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty