Centro Fenix INC.
Clinic/Center, Mental Health (Including Community Mental Health Center) in Humacao, PR. Organization (NPI-2).
NPI number1750135398
StatusActive
Last updated in NPPESApr 19, 2024
Details
- NPI
- 1750135398
- Entity type
- Organization (NPI-2)
- Legal business name
- Centro Fenix INC.
- Organization subpart
- No
- Enumeration date
- Apr 11, 2024
- Certification date
- Apr 19, 2024
- Last updated
- Apr 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Other names
- Centro Fenix (Other Name)
Practice location
Calle Cruz Ortiz Stella 117-BHumacao, PR 00791
Phone 787-981-7106
Mailing address
Po Box 328,Las Piedras, PR 00771
Phone 787-981-7106
Authorized official
Karla M Ortiz
Owner
7879817106
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