CENTRO RESIDENCIAL VARONES PONCE – NPI #1417176603
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CENTRO RESIDENCIAL VARONES PONCE is a substance abuse rehabilitation facility located in PONCE, PR. NPPES has assigned the NPI number 1417176603 to CENTRO RESIDENCIAL VARONES PONCE on April 25, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 18 years ago on Aug 07, 2008. 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 CENTRO RESIDENCIAL VARONES PONCE below.

NPI Profile for
CENTRO RESIDENCIAL VARONES PONCE

NPI Number
1417176603
Enumeration Date

(more than 19 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
CENTRO RESIDENCIAL VARONES PONCE
Primary location
HOSPITAL SAN LUCAS 2
PONCE, PR 00732
Phone: (787) 840-6835 Fax:
Mailing address
PO BOX 21414
SAN JUAN, PR 00928-1414
Phone: (787) 840-6835 Fax:
Organization Subpart
No
Authorized Official
ADA MATOS
ADMINISTRATOR
Phone: (787) 840-6835
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
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
PR

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.