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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