Healthcare Provider Details

I. General information

NPI: 1801614383
Provider Name (Legal Business Name): APS CLINICS OF PUERTO RICO, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2024
Last Update Date: 10/02/2024
Certification Date: 10/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

APS CLINICS OF PUERTO RICO TOA BAJA AVE SABANA SECA, INT 867
TOA BAJA PR
00949
US

IV. Provider business mailing address

PO BOX 71474
SAN JUAN PR
00936-8574
US

V. Phone/Fax

Practice location:
  • Phone: 787-641-0774
  • Fax:
Mailing address:
  • Phone: 787-641-0774
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MR. JASON MORALES
Title or Position: VP REGULATORY AFFAIRS
Credential:
Phone: 787-641-0774