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Organization

LUISJO CORP.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LUIS J RIVERA MD (PRESIDENT)
(787) 462-3218
Entity
Organization

Contact information

Practice address
4008 AVE. SUR APT. 4401, CAROLINA, PR 00987
(787) 462-3218
Mailing address
4008 AVE. SUR APT. 4401, CAROLINA, PR 00987

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
18235
PR
251S00000X
Community/Behavioral Health Agency
18235
PR
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
18235
PR
261QM0850X
Adult Mental Health Clinic/Center
Primary
18235
PR
273R00000X
Psychiatric Hospital Unit
18235
PR
283Q00000X
Psychiatric Hospital
18235
PR

Other

Enumeration date
05/12/2014
Last updated
05/12/2014
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