Basic Information
| Provider Information | |||||||||
| NPI: | 1134654783 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | THE PUERTO RICAN FAMILY INSTITUTE INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 220 E 197TH ST APT 4B | ||||||||
| Address2: | |||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104583231 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6464746199 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4123 3RD AVE | ||||||||
| Address2: | |||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104576222 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7182993045 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/20/2017 | ||||||||
| LastUpdateDate: | 04/27/2017 | ||||||||
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| AuthorizedOfficialLastName: | ESPAILLAT | ||||||||
| AuthorizedOfficialFirstName: | MILAGROS | ||||||||
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| AuthorizedOfficialTitleorPosition: | CLINICIAN | ||||||||
| AuthorizedOfficialTelephone: | 7182993045 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | 100163-1 | NY | Y | Agencies | Community/Behavioral Health |
No ID Information.