Healthcare Provider Details

I. General information

NPI: 1992895379
Provider Name (Legal Business Name): INSPIRA PSYCHIATRIC SERVICES PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 07/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

TORRE AUXILIO MUTUO SUITE 410
SAN JUAN PR
00917
US

IV. Provider business mailing address

PO BOX 9809
CAGUAS PR
00726-9809
US

V. Phone/Fax

Practice location:
  • Phone: 787-296-0555
  • Fax: 787-296-0720
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 NumberCASM0268
License Number StatePR

VIII. Authorized Official

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