NPI 1235580143

Fundacion Modesto Gotay Pro Personas Con Discapacidad Intelectual Y de

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Trujillo Alto, PR

Practice location

Address: Carr 876 Km 4.6 Bo. Las Cuevas, Trujillo Alto, PR 00976-0000
Phone: (787) 761-6244
Fax: (787) 200-4409
Mailing address: PO Box 665, Trujillo Alto, PR 00977-0665

Authorised official

Name: Nilka R. Encarnacion
Title: Administrative Assistant
Phone: (787) 761-6244

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence 3 (PR)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Puerto Rico →

Registry record

NPI: 1235580143
Entity type: Organization
NPI issued: 22 Jun 2016
Record last updated: 22 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.