Fundacion Modesto Gotay Pro Personas Con Discapacidad Intelectual Y De

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1235580143

Fundacion Modesto Gotay Pro Personas Con Discapacidad Intelectual Y De is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Trujillo Alto, Puerto Rico. Licensed in Puerto Rico. Registered with an NPI since 2016.

Licensed in: PR
In the registry since: 2016

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Practice location Address may be wrong

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Carr 876 Km 4.6 Bo Las Cuevas
Trujillo Alto, PR 00976-0000
Phone: (787) 761-6244
Fax: (787) 200-4409

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Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary)	Taxonomy 320900000X · Licence 3 (PR)

Record details

NPI number	1235580143
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Nilka Encarnacion — Administrative Assistant · (787) 761-6244
NPI enumerated	June 22, 2016
Last updated in NPPES	June 22, 2016
Mailing address	Po Box 665, Trujillo Alto, PR 00977-0665