Organization
CENTRO SALUD MENTAL MAYAGUEZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS ELIAS LUGO (DIRECTOR)
(787) 766-4640
Entity
Organization
Contact information
Practice address
CARR 2, MAYAGUEZ, PR 00682-6353
(787) 766-4640
(787) 763-2344
Mailing address
PO BOX 21485, SAN JUAN, PR 00928-1485
(787) 766-4640
(787) 763-2344
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
5
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222075
UTI
PR
01
—
2445-2
AMPR
PR
01
—
660405216-06
GOLDEN CROSS
PR
01
—
660433481-013
MCS
PR
01
—
66173
CRUZ AZUL
PR
01
—
6800051
HUMANA
PR
01
—
SH-48116
UIA
PR
Enumeration date
09/21/2005
Last updated
08/22/2020
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