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Organization

PUERTO RICAN FAMILY INSTITUTE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. IRAN RODRIGUEZ (CEO)
(212) 924-6320
Entity
Organization

Contact information

Practice address
145 W 15TH ST, 2ND FLOOR, NEW YORK, NY 10011-6701
(212) 924-6320
Mailing address
145 W 15TH ST, 2ND FLOOR, NEW YORK, NY 10011-6701
(212) 924-6320

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
6758101A
NY
251S00000X
Community/Behavioral Health Agency
6758102A
NY
251S00000X
Community/Behavioral Health Agency
Primary
6758110A
NY
315P00000X
Intellectual Disabilities Intermediate Care Facility
06482440
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001113304
NY
05
00244880
NY
05
00357126
NY
05
00357135
NY
05
01424217
NY
05
02999379
NY
05
02999411
NY
05
02999420
NY
Enumeration date
11/28/2016
Last updated
11/28/2016
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