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Contact Information

TEEN CHALLENGE DE PUERTO RICO, INC.
CARRETERA #2 KM 7.7
BAYAMON, PR00958-4273
 Phone: 787-730-6908
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Substance Abuse Disorder Rehabilitation Facility

324500000X
Indicates primary specialty

NPI Profile & details for TEEN CHALLENGE DE PUERTO RICO, INC.

NPI # 1598363954
LBN Legal business name TEEN CHALLENGE DE PUERTO RICO, INC.
Authorized official OLGA GOMEZ RIVERA - (BILLER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/16/2020
Last updated 03/24/2025 - More than a year ago
Identifiers
PR Medicaid 39129800
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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