| Centro Chai | |
|
55 Calle Del Carmen W Fajardo PR 00738 | |
| (787) 860-3558 | |
| (787) 860-7066 |
| Full Name | Centro Chai |
|---|---|
| Speciality | Clinic/Center |
| Location | 55 Calle Del Carmen W, Fajardo, Puerto Rico |
| Authorized Official Name and Position | Ivia I Pacheco Collado (DIRECTOR ADMINISTRATOR) |
| Authorized Official Contact | 7878603558 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro Chai 55 Calle Del Carmen W Fajardo PR 00738 Ph: (787) 860-3558 | Centro Chai 55 Calle Del Carmen W Fajardo PR 00738 Ph: (787) 860-3558 |
| NPI Number | 1740223973 |
|---|---|
| Provider Enumeration Date | 06/14/2006 |
| Last Update Date | 01/31/2024 |
| Certification Date | 01/29/2024 |
| Medicare PECOS PAC ID | 3678579364 |
|---|---|
| Medicare Enrollment ID | O20061020000367 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740223973 | NPI | - | NPPES |
| 038127904 | Medicaid | PR | |
| 039354800 | Medicaid | PR | |
| 038127903 | Medicaid | PR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 07B2410 (Puerto Rico) | Primary |
| Provider Name | Grace Palmer-quinones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669416392 PECOS PAC ID: 0547268351 Enrollment ID: I20061109000540 |
| Provider Name | Jose R Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134150311 PECOS PAC ID: 2567461171 Enrollment ID: I20090126000007 |
| Provider Name | Lisandra Santiago Vicente |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619289402 PECOS PAC ID: 3779749536 Enrollment ID: I20120723000643 |
| Provider Name | Maria Isabel Aponte |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750845632 PECOS PAC ID: 6305259441 Enrollment ID: I20210108000779 |
Centro De Consejeria Familiar Y Trabajo Social Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Calle Del Carmen W, Fajardo Pueblo, Fajardo, PR 00738 Phone: 787-801-0217 Fax: 787-801-0217 | |
Clinica De Servicios Psicologicos Despertar Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Torre Medica San Pablo Piso 5, Suite 504, Fajardo, PR 00738 Phone: 787-639-8894 | |
Instituto Neuropsicoterapeutico Dr. Del Valle Ortiz Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Ave General Valero # 404, Fajardo, PR 00738 Phone: 787-550-2974 | |
Salud Integral De Individuos Y Familias, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 228 Calle Yagrumo, Urb Fajardo Gardens, Fajardo, PR 00738 Phone: 939-460-0428 | |
Continuum Mental Care Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Calle Del Carmen #55, Fajardo, PR 00738 Phone: 787-860-3558 Fax: 787-860-3330 | |
Jekade,inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Calle A.r.barcelo #59-b, Fajardo, PR 00738 Phone: 787-444-0567 |