Organization
CENTRO DE SALUD MENTAL DE SAN PATRICIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS ELIAS LUGO (DIRECTOR)
(787) 766-4640
Entity
Organization
Contact information
Practice address
AVE DE DIEGO CALLE CAADA, PUERTO NUEVO, SAN JUAN, PR 00922
(787) 766-4646
(787) 763-2344
Mailing address
PO BOX 21485, SAN JUAN, PR 00928-1485
(787) 766-4646
(787) 763-2344
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
12
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1019-5
AMPR
PR
01
—
222032
PREFERRED HEALTH
PR
01
—
660405216-08
GOLDEN CROSS
PR
01
—
660433481-001
MCS
PR
01
—
69553
CRUZ AZUL
PR
01
—
82727
SSS
PR
Enumeration date
09/20/2005
Last updated
07/21/2022
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