| Organization Name: | CENTRO TERAPEUTICO DEL NORESTE CORP |
| NPI Number: | 1003274853 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AIXNETTE FIGUEROA AYALA (PRESIDENTA) |
| Mailing Address: | Ave Jesus T Pinero Urb Hyde Park 2do Nivel San Juan |
| State: | PUERTO RICO UM |
| Postal Code: | 00927 |
| Phone Number: | 7873684120 |
| Fax Number: | |
| NPI Enumeration Date: | 02/08/2016 |
| NPI Last Update Date: | 02/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 11157 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |