# PUERTO RICO COMMUNITY FOR CLINICAL SERVICES, RESEARCH AND HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PR CoNCRA, PRCONCRA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396776472
- **Authorized official:** CARLOS A CABRERA BONET (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (787) 773-0464

## Contact information

- **Practice address:** URB. GARCIA UBARRI, 1162 BRUMBAUGH, RIO PIEDRAS, PR 00925
- **Practice address phone:** (787) 773-0464
- **Practice address fax:** (787) 294-1569
- **Mailing address:** PO BOX 20850, SAN JUAN, PR 00928-0850
- **Mailing address phone:** (787) 773-0464
- **Mailing address fax:** (787) 773-0464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 122300000X | Dentist | 2325 | PR | — |
| 207R00000X | Internal Medicine Physician | 12973 | PR | — |
| 207RI0200X | Infectious Disease Physician | 8204 | PR | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 208D00000X | General Practice Physician | 14317 | PR | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/06/2006
- **Last updated:** 12/26/2023