Centro Residencial Varones Ponce in San Juan - Substance Abuse Rehabilitation Facility
Centro Residencial Varones Ponce - NPI 1417176603
Centro Residencial Varones Ponce is a Substance Abuse Rehabilitation Facility in San Juan, Puerto Rico. Centro Residencial Varones Ponce practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for Centro Residencial Varones Ponce is 1417176603. The last update date is 2008-08-07.
Centro Residencial Varones Ponce's current location address is Po Box 21414, San Juan, Puerto Rico. You can contact this provider via phone number 7878406835. The mailing address for Centro Residencial Varones Ponce is Po Box 21414, San Juan, Puerto Rico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Centro Residencial Varones Ponce |
|---|---|
| Address | Po Box 21414, San Juan, Puerto Rico |
| Phone Number | 7878406835 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Matos Ada |
| Telephone Number | 7878406835 |
NPI Number Detail
| NPI Number | 1417176603 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2008-08-07 |
Provider Mailing Address Detail
| Address | Po Box 21414 |
|---|---|
| City | San Juan |
| State | Puerto Rico (PR) |
| Post Code | 9281414 |
| Phone Number | 7878406835 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Rehabilitation Facility |
|---|---|
| Taxonomy | 324500000X |
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Definition: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
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What is the unique identifier code issued to Centro Residencial Varones Ponce by the Centers for Medicare & Medicaid Services?
The Centro Residencial Varones Ponce has been assigned the NPI (National Provider Identifier) 1417176603. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Centro Residencial Varones Ponce's facilities are situated?
The facilities of Centro Residencial Varones Ponce are physically located at the following address: Po Box 21414, San Juan, PR, 9281414.
What is the Centro Residencial Varones Ponce's specialty and taxonomy code?
The Centro Residencial Varones Ponce's specialty is Substance Abuse Rehabilitation Facility, and the corresponding taxonomy code is 324500000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1417176603 to Centro Residencial Varones Ponce?
The Centers for Medicare & Medicaid Services assigned the 1417176603 to Centro Residencial Varones Ponce on 2007-04-25.
When was the information pertaining to Centro Residencial Varones Ponce most recently updated or revised?
The details related to Centro Residencial Varones Ponce, including its address, specialty, and other relevant information, were last updated or revised on 2008-08-07.