Provider Demographics
NPI:1750692398
Name:FAMILY PLANNING ASSOCIATION OF PUERTYO RICO
Entity type:Organization
Organization Name:FAMILY PLANNING ASSOCIATION OF PUERTYO RICO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:MERCEDES
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-765-7373
Mailing Address - Street 1:GO10 AVE ROBERTO SANCHEZ VILELLA
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00982-2678
Mailing Address - Country:US
Mailing Address - Phone:787-769-0401
Mailing Address - Fax:787-710-7613
Practice Address - Street 1:GO10 AVE ROBERTO SANCHEZ VILELLA
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00982-2678
Practice Address - Country:US
Practice Address - Phone:787-769-0401
Practice Address - Fax:787-710-7613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-29
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility