PROMESA INC – NPI #1598008476
Clinic/Center

PROMESA INC is an AHC clinic located in BRONX, NY. NPPES has assigned the NPI number 1598008476 to PROMESA INC on March 29, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PROMESA INC” is a dba name, the actual legal business name for this organization is PUERTO RICAN ORGANIZATION TO MOTIVATE ENLIGHTEN AND SERVE ADDICTS INC. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was previously updated about 8 years ago on Jul 02, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROMESA INC below.

NPI Profile for
PUERTO RICAN ORGANIZATION TO MOTIVATE ENLIGHTEN AND SERVE ADDICTS INC

NPI Number
1598008476
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PUERTO RICAN ORGANIZATION TO MOTIVATE ENLIGHTEN AND SERVE ADDICTS INC
Doing Business As (dba): PROMESA INC
Primary location
1776 CLAY AVE
BRONX, NY 10457
Phone: (718) 299-1100 Fax: (718) 716-7822
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MILTON DERIENZO
CFO
Phone: (347) 649-3083
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.