| Centro Fenix Inc. | |
|
Calle Cruz Ortiz Stella 117-b Humacao PR 00791 | |
| (787) 981-7106 | |
| Not Available |
| Full Name | Centro Fenix Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | Calle Cruz Ortiz Stella 117-b, Humacao, Puerto Rico |
| Authorized Official Name and Position | Karla M Ortiz (OWNER) |
| Authorized Official Contact | 7879817106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro Fenix Inc. Po Box 328, Las Piedras PR 00771 Ph: (787) 981-7106 | Centro Fenix Inc. Calle Cruz Ortiz Stella 117-b Humacao PR 00791 Ph: (787) 981-7106 |
| NPI Number | 1750135398 |
|---|---|
| Provider Enumeration Date | 04/11/2024 |
| Last Update Date | 04/19/2024 |
| Certification Date | 04/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750135398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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