Provider Demographics
NPI:1669924684
Name:INSPIRA BEHAVIORAL CARE CORP.
Entity type:Organization
Organization Name:INSPIRA BEHAVIORAL CARE CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVEEDORES
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:M
Authorized Official - Last Name:VARELA
Authorized Official - Suffix:
Authorized Official - Credentials:JANELLIE
Authorized Official - Phone:787-704-0705
Mailing Address - Street 1:PO BOX 9809
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-9809
Mailing Address - Country:UM
Mailing Address - Phone:787-709-7130
Mailing Address - Fax:787-744-7444
Practice Address - Street 1:184 CALLE GUADALUPE
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00730-3561
Practice Address - Country:US
Practice Address - Phone:787-709-4130
Practice Address - Fax:787-744-7444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-25
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR404008Medicare Oscar/Certification