| Copa | |
|
Marginal Balhuinia Loiza Valley Shopping Center Local Aa6 Canvanas PR 00729 | |
| (787) 256-0273 | |
| (787) 876-7856 |
| Full Name | Copa |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | Marginal Balhuinia, Canvanas, Puerto Rico |
| Authorized Official Name and Position | Hospital Parcial (ORG) |
| Authorized Official Contact | 7872560273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Copa Po Box 9915 Carolina PR 00988-9915 Ph: (787) 256-0273 | Copa Marginal Balhuinia Loiza Valley Shopping Center Local Aa6 Canvanas PR 00729 Ph: (787) 256-0273 |
| NPI Number | 1043739626 |
|---|---|
| Provider Enumeration Date | 09/14/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043739626 | NPI | - | NPPES |
| FB109A | Medicaid | PR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Puerto Rico) | Primary |