Fbc Mental LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in San Juan, PR. Organization (NPI-2).
NPI number1144840323
StatusActive
Last updated in NPPESApr 17, 2020
Details
- NPI
- 1144840323
- Entity type
- Organization (NPI-2)
- Legal business name
- Fbc Mental LLC
- Organization subpart
- No
- Enumeration date
- Apr 17, 2020
- Certification date
- Apr 17, 2020
- Last updated
- Apr 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Other names
- Fbc Mental LLC (Former Legal Business Name)
Practice location
Carr 21 S 3 # 11 Suite 304Las Lomas
San Juan, PR 00921-0092
Phone 787-949-7050
Mailing address
3071 Ave Alejandrino Pmb 231Guaynabo, PR 00969
Authorized official
Frank Hernand Benitez Cruz
President
7879497050
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