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Contact Information

CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC)
CARR PR 122 KM 0.6 AVE CASTRO PEREZ
BO. GUAMA
SAN GERMAN, PR00683
 Phone: 787-652-2376
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
Indicates primary specialty

NPI Profile & details for CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC)

NPI # 1952113102
LBN Legal business name CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC)
Authorized official TANIA RODRIGUEZ - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/24/2025
Last updated 12/22/2025 - About 6 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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