Organization
CENTRO DE SALUD MENTAL DE SAN PATRICIO
Active
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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