Provider Demographics
NPI:1912075789
Name:CENTRO DE ORIENTACION Y AYUDA PSIQUIATRICA INC.
Entity Type:Organization
Organization Name:CENTRO DE ORIENTACION Y AYUDA PSIQUIATRICA INC.
Other - Org Name:CENTRO PSICOTERAPEUTICO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NELSA
Authorized Official - Middle Name:O
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-256-0273
Mailing Address - Street 1:PO BOX 9915
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00988
Mailing Address - Country:US
Mailing Address - Phone:787-256-0273
Mailing Address - Fax:787-876-7856
Practice Address - Street 1:LOCAL AA6
Practice Address - Street 2:LOIZA VALLEY SHOPPING CENTER
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729
Practice Address - Country:US
Practice Address - Phone:787-256-0273
Practice Address - Fax:787-876-7856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2018-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR0475 AND 0474 ASSMCA261QM0801X, 261QM0801X
PR0474 AND 0475(ASSMCA261QM0801X
283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty
No283Q00000XHospitalsPsychiatric Hospital