# AZUL SALUD MENTAL PARA NINOS Y ADOLESCENTES

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

## Provider details

- **NPI number:** 1427238674
- **Authorized official:** AMINTA MILAGROS RIVERA M.D. (PSYCHIATRIST)
- **Authorized official phone:** (787) 636-8343

## Contact information

- **Practice address:** AVE DEGETAU \# A-4, CAGUAS, PR 00725-5819
- **Practice address phone:** (787) 636-8343
- **Mailing address:** PO BOX 7437, CAGUAS, PR 00726-7437
- **Mailing address phone:** (787) 636-8343

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | 12927 | PR | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 12927 | PR | Yes |

## Other

- **Enumeration date:** 11/05/2007
- **Last updated:** 11/05/2007