Provider Demographics
NPI:1184995557
Name:APSHEALTHCARE
Entity type:Organization
Organization Name:APSHEALTHCARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORK
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANA
Authorized Official - Middle Name:I
Authorized Official - Last Name:FALCON
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:939-579-7640
Mailing Address - Street 1:HC 91 BOX 9193
Mailing Address - Street 2:HC 91,BUZON 9193
Mailing Address - City:VEGA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00692-9676
Mailing Address - Country:US
Mailing Address - Phone:939-579-7640
Mailing Address - Fax:787-641-0777
Practice Address - Street 1:HC 91 BOX 9193
Practice Address - Street 2:HC 91,BUZON 9193
Practice Address - City:VEGA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00692-9676
Practice Address - Country:US
Practice Address - Phone:939-579-7640
Practice Address - Fax:787-641-0777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-18
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR261QM0801X
1041C0700X
PR104100000X251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR104100000XMedicare PIN