# CENTRO PRAY THE LORD INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pray the Lord
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497257463
- **Authorized official:** DR. REGINO CRUZ OLIVO MD (VICE PRESIDENT)
- **Authorized official phone:** (787) 614-3006

## Contact information

- **Practice address:** CARR 3 KM 11.6, BO MARTIN GONZALEZ, CAROLINA, PR 00986
- **Practice address phone:** (787) 358-4139
- **Practice address fax:** (256) 886-2900
- **Mailing address:** CARR 3 KM 11.6, BO MARTIN GONZALEZ, CAROLINA, PR 00986
- **Mailing address phone:** (787) 358-4139
- **Mailing address fax:** (256) 886-2900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | 9855 | PR | Yes |

## Other

- **Enumeration date:** 03/06/2018
- **Last updated:** 03/06/2018