# SOCIEDAD DE SALUD MENTAL, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1831592120
- **Authorized official:** MR. HIPOLITO B COSTA-PEREZ M.D. (CEO)
- **Authorized official phone:** (787) 467-1007

## Contact information

- **Practice address:** 118 CARR 159 STE 2B, ORTIZ MEDICAL PLAZA, COROZAL, PR 00783-2346
- **Practice address phone:** (787) 859-4973
- **Practice address fax:** (787) 859-5152
- **Mailing address:** PO BOX 367631, SAN JUAN, PR 00936-7631
- **Mailing address phone:** (787) 859-4973
- **Mailing address fax:** (787) 859-5152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 10/01/2014
- **Last updated:** 10/01/2014