CENTRO AMBULATORIO DE DESINTOXICACION Y ENLACE DE PR, INC.
NPI 1790087609
Counselor - Addiction (Substance Use Disorder) in Ponce, PR

Active since November 29, 2010CLIA 40D2337939 · Waiver

NPPES record last updated: November 29, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Centro Ambulatorio De Desintoxicacion Y Enlace De Pr, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRO AMBULATORIO DE DESINTOXICACION Y ENLACE DE PR, INC. (NPI 1790087609) is a healthcare organization registered as an addiction (substance use disorder) in Ponce, Puerto Rico and active in the NPI registry since November 2010. The organization holds a CLIA Waiver certificate valid through February 2, 2028 and lists Martin Scamaroni, Ceo, as its authorized official.

NPPES Registry Identity

NPI1790087609
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameCENTRO AMBULATORIO DE DESINTOXICACION Y ENLACE DE PR, INC.
Location AddressATOCHA 120Ponce, PR 00731
Mailing AddressPo Box 2000 Pmb 10Mercedita, PR 00717 · (787) 409-7030
Organization SubpartNo
Authorized OfficialMartin ScamaroniCeo · (787) 407-8944
Enumeration DateNovember 29, 2010
NPI 1790087609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in PR · AC-15-62-0034
Also ListedCounselorTaxonomy 101Y00000X · License LOC-15-62-0004 (PR)
ATOCHA 120, Ponce, PR 00731

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 40D2337939

Centro Ambulatorio De Desintoxicacion Y Enlace De Pr , Inc · Ponce, PR
Active · expires Feb 2, 2028
CLIA Number40D2337939
Laboratory TypePhysician Office
Certificate Effective DateFebruary 3, 2026
Certificate Expiration DateFebruary 2, 2028
Laboratory DirectorMartin Scamaroni
Laboratory Phone(787) 409-7030
Laboratory LocationCentro Ambulatorio De Desintoxicacion Y Enlace De Pr , Inc100 Atocha St, Ponce, PR 00730
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790087609, enumerated as an "organization" on November 29, 2010.

The provider is located at ATOCHA 120 PONCE, PR 00731 and the phone number is (787) 409-7030.

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).