OrganizationActive
Fundacion Modesto Gotay Pro Personas Con Discapacidad Intelectual Y De
NPI 1235580143 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Trujillo Alto, PR
Provider details
- NPI number
- 1235580143
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Nilka Encarnacion, Administrative Assistant(787) 761-6244
- License
- 3 (PR)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 3 (PR)
Residential Treatment Facilities
Practice location
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
Registry dates
- Enumerated
- 2016-06-22
- Last updated
- 2016-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.