MENTE RENOVADA CENTRO DE INTERVENCION CLINICA SOCIAL (NPI# 1487161808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487161808 |
| Entity Type | Organization |
| Organization Name | MENTE RENOVADA CENTRO DE INTERVENCION CLINICA SOCIAL |
| Practice Address |
Buen Samaritano Medical & Professional Plaza Suite #5 Primer Piso Ave. Severiano Cuevas #18 Aguadilla PR 00603 |
| Mailing Address |
219 Calle A Aguada PR 00602-4007 |
| Practice Telephone | 7874222595 |
| Mailing Telephone | 7876695124 |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-12-04 |
| Authorized Official Name | MRS. MARIAN DESARDEN (TRABAJADORA SOCIAL CLINICA) |
| Authorized Official Telephone | 7876695124 |
| Authorized Official Credential | LICENCIADA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
10474 | PR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | 1487963484 | 05 |
| Street Address |
BUEN SAMARITANO MEDICAL & PROFESSIONAL PLAZA SUITE #5 PRIMER PISO AVE. SEVERIANO CUEVAS #18 |
| City | AGUADILLA |
| State | PR |
| Zip Code | 00603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255938593 | Natalia Cordero Lopez | Psychologist | 3 Calle Orquidea, Urb. La Victoria, Aguadilla, PR 00603 | 2020-10-08 |
| 1790390250 | Roberto Martinez Caballero | Physician Assistant | Carr#2 Km 141.1 Ave. Severiano Cuevas Bo Caimital Bajo, Aguadilla, PR 00603 | 2020-09-11 |
| 1427667906 | Northwestern Renal Care Psc | Exclusive Provider Organization | Edificio Western Plaza, Oficina 10, Ave. Severiano Cuevas 18, Carr 460 Km 1.2 Int, Aguadilla, PR 00603 | 2020-07-30 |
| 1457960502 | Tamara Paola Gonzalez Copo | Student in an Organized Health Care Education/Training Program | Bo Maleza Alta Sect Martinica Carr 110 Km32.3, Aguadilla, PR 00603 | 2020-07-24 |
| 1538778824 | Felipe Jose Soto | Student in an Organized Health Care Education/Training Program | Carr. 2 Km 141.1 Ave. Severiano Cuevas 18, Aguadilla, PR 00603 | 2020-07-23 |
| 1699383679 | Grisely Moro Acevedo | General Practice | Carr 110 Km 23.8 Int Reparto Monte Cristo 16, Bo. Ceiba Baja, Aguadilla, PR 00603 | 2020-07-16 |
| 1245857879 | Brunilda Rios | General Acute Care Hospital | Hospital Buen Samaritano Avenida Severiano Cuevas #18 K, Aguadilla, PR 00603 | 2020-06-30 |
| 1699391227 | Diannette Morales-crespo | General Practice | Avenida Severiano Cuevas, 18 Km 141.1 Bo. Caimital Bajo, Aguadilla, PR 00603 | 2020-06-19 |
| 1275158982 | Tamia Marie Lozada Soto | Student in an Organized Health Care Education/Training Program | Ave. Severiano Cuevas #18 Carr #2 Km 141.1, Aguadilla, PR 00603 | 2020-06-09 |
| 1679105902 | Super Heroes 5k Inc | Respite Care | Km 2.1 Road 107, Aguadilla Puerto Rico, Borinquen, Aguadilla, PR 00603 | 2020-02-05 |
| Find all providers in zip 00603 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689213993 | Aps Clinics of Puerto Rico, Inc. | Clinic/Center | Plaza Del Mar, Carr. 107, Km. 2.3, Aguadilla, PR 00603 | 2020-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700354875 | Instituto Psicopedagogico De Pr | Clinic/Center | Carr 2 Kilometer 8.5, Bayamon, PR 00959 | 2018-11-07 |
| 1578065116 | Inspira Behavioral Care Corp. | Clinic/Center | 706 La Fuente Town Center Marginal, Local 221 224, Guayama, PR 00784 | 2018-02-28 |
| 1760983399 | Inspira Behavioral Care Corp. | Clinic/Center | 23 Carolina Century Business Center, Carr 848, Carolina, PR 00985 | 2018-02-28 |
| 1023524733 | Inspira Behavioral Care Corp. | Clinic/Center | Torre De Auxilio Mutuo, Oficina 410, Hato Rey, PR 00918 | 2017-12-18 |
| 1609381524 | Inspira Behavioral Care Corp. | Clinic/Center | Calle 2 Km 11.8, Edificio Centurion Piso 3, Bayamon, PR 00961 | 2017-12-14 |
| 1265947113 | Inspira Behavioral Care Corp. | Clinic/Center | B5 Consolidated Mall Anexo, Caguas, PR 00725 | 2017-12-13 |
| 1891245635 | Joyful Thought Psychiatry | Clinic/Center | Carr. 31 Km 4.0, Naguabo Medical Mall, Naguabo, PR 00718 | 2016-10-05 |
| 1881049294 | Genesis Clinical Health Group, Inc | Clinic/Center | 225 Calle Caribe, 225 Caribe St, Arroyo, PR 00714-3056 | 2016-05-04 |
| 1790147262 | Emet, LLC | Clinic/Center | S2 Avenida Luis Munos Marin, Mariolga Development, Caguas, PR 00725 | 2016-03-24 |
| 1093186876 | Margarita Cruz Soto | Clinic/Center | 2 Ave. Hostos, Edif. Medical Emporium Suite 406, Mayaguez, PR 00680 | 2015-10-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.