Provider Demographics
NPI:1336616630
Name:INSPIRA BEHAVIORAL CARE CORP.
Entity Type:Organization
Organization Name:INSPIRA BEHAVIORAL CARE CORP.
Other - Org Name:INSPIRA AMBULATORY CLINIC - CULEBRA
Other - Org Type:Other Name
Authorized Official - Title/Position:PROVIDER SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:ZENAIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-704-0705
Mailing Address - Street 1:PO BOX 9809
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-9809
Mailing Address - Country:US
Mailing Address - Phone:787-704-0705
Mailing Address - Fax:787-744-7444
Practice Address - Street 1:CALLE WILLIAM FONT FINAL
Practice Address - Street 2:
Practice Address - City:CULEBRA
Practice Address - State:PR
Practice Address - Zip Code:00775
Practice Address - Country:US
Practice Address - Phone:787-704-0705
Practice Address - Fax:787-744-7444
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INSPIRA BEHAVIORAL CARE CORP.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-10-25
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health