National Provider Identifier Database

CORDA OF PR INC
Substance Abuse Disorder 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.


Contact Information

CORDA OF PR INC
CARR 910 INT KM 4.3 BO CATANO
HUMACAO, PR00792
Phone: 787-636-4741
Fax: 787-285-1890
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for CORDA OF PR INC

NPI Number 1720379704
Legal business name
LBN
CORDA OF PR INC
Authorized official GILBERT RODRIGUEZ - (CEO)
Entity Organization
Organization subpart No
Enumeration date 04/26/2011
Last updated 04/26/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • PR License #: CTRSA-0243

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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