Healthcare Provider Details

I. General information

NPI: 1639659469
Provider Name (Legal Business Name): OPAPA ORGANIZACION EN PRO DE LA ATENCION A LA PERSONA CON ALZHEIMER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2018
Last Update Date: 10/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVE HR TODD COMERCIAL 18 SUITE 201
SAN JUAN PR
00924
US

IV. Provider business mailing address

BOX 194335
SAN JUAN PR
00919-4335
US

V. Phone/Fax

Practice location:
  • Phone: 787-696-1159
  • Fax:
Mailing address:
  • Phone: 787-696-1159
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QC1800X
TaxonomyCorporate Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARIA SOLEDAD PIERAF
Title or Position: ADMINISTRATOR
Credential:
Phone: 787-696-1159