# SERVICIOS INTEGRADOS DE SALUD MENTAL S.E.P.I.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326478371
- **Authorized official:** DR. ILIANETTE RUIZ MD (OWNER)
- **Authorized official phone:** (787) 868-1828

## Contact information

- **Practice address:** EDIFICIO CARIBBEAN OFFICE PARK CARR 417 BO MALPASO, AGUADA, PR 00602
- **Practice address phone:** (787) 868-1828
- **Practice address fax:** (787) 868-1828
- **Mailing address:** 90 CALLE COLON, AGUADA, PR 00602
- **Mailing address phone:** (787) 868-1828
- **Mailing address fax:** (787) 868-1828

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | 20389 | PR | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 20389 | PR | Yes |

## Other

- **Enumeration date:** 11/12/2013
- **Last updated:** 11/12/2013