Healthcare Provider Details

I. General information

NPI: 1649308800
Provider Name (Legal Business Name): HOSPITAL DE PQUIATRIA FORENSE DE RIO PIEDRAS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CENTRO MEDICO BO MONACILLOS
SAN JUAN PR
00926
US

IV. Provider business mailing address

PO BOX 21414
SAN JUAN PR
00928-1414
US

V. Phone/Fax

Practice location:
  • Phone: 787-763-1870
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: MRS. GLADYS GARCIA
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 787-763-1870