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RESILIENCIAS, INC.
Complete NPI Record 1710361837
Clinic/Center - Mental Health (Including Community Mental Health Center) in Barceloneta, PR

NPI Status: Active since July 18, 2015

Contact Information

1 URB NUEVA
51 URBANIZACION CATALANA
BARCELONETA, PR
ZIP 00617
Phone: (787) 242-9994

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Employer Identification Number EIN
  4. Provider Organization Name Legal Business Name
  5. Provider First Line Business Mailing Address
  6. Provider Business Mailing Address City Name
  7. Provider Business Mailing Address State Name
  8. Provider Business Mailing Address Postal Code
  9. Provider Business Mailing Address Country Code If outside U S
  10. Provider Business Mailing Address Telephone Number
  11. Provider Business Mailing Address Fax Number
  12. Provider First Line Business Practice Location Address
  13. Provider Second Line Business Practice Location Address
  14. Provider Business Practice Location Address City Name
  15. Provider Business Practice Location Address State Name
  16. Provider Business Practice Location Address Postal Code
  17. Provider Business Practice Location Address Country Code If outside U S
  18. Provider Business Practice Location Address Telephone Number
  19. Provider Enumeration Date
  20. Last Update Date
  21. Authorized Official Last Name
  22. Authorized Official First Name
  23. Authorized Official Title or Position
  24. Authorized Official Telephone Number
  25. Healthcare Provider Taxonomy Code 1
  26. Provider License Number 1
  27. Provider License Number State Code 1
  28. Healthcare Provider Primary Taxonomy Switch 1
  29. Is Organization Subpart
  30. Authorized Official Name Prefix Text
  31. Authorized Official Credential Text

Complete NPI Dataset

This page represents the complete record for NPI 1710361837. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1710361837
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Entity Type Code: 2
The city name in the location address of the provider being identified.
Employer Identification Number EIN: UNAVAIL
The State code in the location of the provider being identified.
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider First Line Business Mailing Address: PO BOX 901
The country code in the location address of the provider being identified.
Provider Business Mailing Address City Name: BARCELONETA
The telephone number associated with the location address of the provider being identified.
Provider Business Mailing Address State Name: PUERTO RICO
The fax number associated with the location address of the provider being identified.
Provider Business Mailing Address Postal Code: 00617
The date the provider was assigned a unique identifier (assigned an NPI).
Provider Business Mailing Address Country Code If outside U S : UM
The date that a record was last updated or changed.
Provider Business Mailing Address Telephone Number: 7872429994
The code designating the provider’s gender if the provider is a person.
Provider Business Mailing Address Fax Number: 7878462688
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider First Line Business Practice Location Address: 1 URB NUEVA
Provider Second Line Business Practice Location Address: 51 URBANIZACION CATALANA
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: BARCELONETA
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: PR
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 006172518
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 7872429994
The telephone number associated with the location address of the provider being identified.
Provider Enumeration Date: 7/18/2015
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 7/18/2015
The date that a record was last updated or changed.
Authorized Official Last Name: MORENO-MARTINEZ
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name: LOURDES
The first name of the authorized official.
Authorized Official Title or Position: CLINICAL PSYCHOLOGIST
The title or position of the authorized official.
Authorized Official Telephone Number: 7873707370
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1: 261QM0801X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 1: 3602
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 1: PR
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 1: Y
Is Organization Subpart: N
Authorized Official Name Prefix Text: DR.
Authorized Official Credential Text: PH.D.