Healthcare Provider Details

I. General information

NPI: 1912088238
Provider Name (Legal Business Name): INSPIRA PSYCHIATRIC SERVICES PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 07/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

EDIF CENTURION CARR NUM 2 KM 11.8 PISO 3
BAYAMON PR
00961
US

IV. Provider business mailing address

PO BOX 9809
CAGUAS PR
00726-9809
US

V. Phone/Fax

Practice location:
  • Phone: 787-995-2700
  • Fax: 787-995-2706
Mailing address:
  • Phone: 787-704-0705
  • Fax: 787-744-7444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License NumberCASM0341
License Number StatePR

VIII. Authorized Official

Name: DR. ALBERTO M VARELA
Title or Position: PRESIDENT
Credential: MD
Phone: 787-704-0705