Healthcare Provider Details

I. General information

NPI: 1538081831
Provider Name (Legal Business Name): CENTRO INTEGRAL DE SERVICIO Y APOYO COMUNITARIO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE GAUTIER BENITEZ #49 OFICINA B2 ALTOS
CAGUAS PR
78738-1568
US

IV. Provider business mailing address

50 CALLE TOPACIO
CAGUAS PR
00725-1937
US

V. Phone/Fax

Practice location:
  • Phone: 787-381-5684
  • Fax: 787-381-5684
Mailing address:
  • Phone: 787-381-5684
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JEANNETTE RAMIREZ SOSA
Title or Position: DIRECTORA EJECUTIVA
Credential:
Phone: 787-381-5684