# CENTRO ARARAT INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CENTRO ARARAT INC
- **Other names:** Centro Ararat San Juan
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1114577046
- **Legal business name:** CENTRO ARARAT INC
- **Authorized official:** IVAN MELENDEZ-RIVERA MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (787) 284-5884

## Contact information

- **Practice address:** 1503 CALLE PROF AUGUSTO RODRIGUEZ STE 601, SAN JUAN, PR 00909-2276
- **Practice address phone:** (787) 497-0800
- **Practice address fax:** (787) 982-6464
- **Mailing address:** PO BOX 7793, PONCE, PR 00732-7793
- **Mailing address phone:** (787) 284-5884
- **Mailing address fax:** (787) 651-3333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 133NN1002X | Nutrition Education Nutritionist | — | NULL | — |
| 133NN1002X | Nutrition Education Nutritionist | — | — | — |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 174H00000X | Health Educator | — | NULL | — |
| 174H00000X | Health Educator | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RI0200X | Infectious Disease Physician | — | NULL | — |
| 207RI0200X | Infectious Disease Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 208U00000X | Clinical Pharmacology Physician | — | NULL | — |
| 208U00000X | Clinical Pharmacology Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/12/2019
- **Last updated:** 09/12/2019