# COMMUNITY HEALTH FOUNDATION OF PUERTO RICO INC.

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

## Provider details

- **NPI number:** 1962035832
- **Authorized official:** VANIA MEDINA (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (787) 203-3826

## Contact information

- **Practice address:** MARGINAL SANTA CRUZ C-17, URB. SANTA CRUZ, BAYAMON, PR 00961
- **Practice address phone:** (787) 523-3113
- **Practice address fax:** (787) 786-8690
- **Mailing address:** MARGINAL SANTA CRUZ C-17, URB. SANTA CRUZ, BAYAMON, PR 00961
- **Mailing address phone:** (787) 523-3113
- **Mailing address fax:** (787) 786-8690

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 133NN1002X | Nutrition Education Nutritionist | — | NULL | Yes |
| 133NN1002X | Nutrition Education Nutritionist | — | — | Yes |
| 174H00000X | Health Educator | — | NULL | — |
| 174H00000X | Health Educator | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 02/19/2020
- **Last updated:** 02/19/2020