National Provider Identifier

Ibero American Action League, Inc.

Ibero American Action League, Inc. is listed in the NPPES registry with a primary specialty of Developmentally Disabled Services Day Training Agency in Rochester, NY and a listed phone number of (585) 256-8900.

NPI 1902344575Rochester, NYDevelopmentally Disabled Services Day Training Agency

Profile Overview

NPI
1902344575
Provider Type
Organization
Primary Specialty
Developmentally Disabled Services Day Training Agency
Enumeration Date
February 03, 2017
Last Updated
February 11, 2020

Practice Location

  • 817 E Main St
  • Rochester, NY 14605-2722

Phone: (585) 256-8900

Specialties

  • Developmentally Disabled Services Day Training Agency (251C00000X)
  • Case Manager/Care Coordinator (171M00000X)
  • Community Health Worker (172V00000X)
  • Community/Behavioral Health Agency (251S00000X)
Full Record
NPI
1902344575
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Ibero American Action League, Inc.
Mailing Street Address
817 E Main St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14605-2722
Mailing Country
US
Mailing Phone
(585) 256-8900
Mailing Fax
(585) 442-0683
Practice Street Address
817 E Main St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14605-2722
Practice Country
US
Practice Phone
(585) 256-8900
Practice Fax
(585) 442-0683
Enumeration Date
February 03, 2017
Last Updated
February 11, 2020
Authorized Official Last Name
Perez-Delgado
Authorized Official First Name
Angelica
Authorized Official Title
President & CEO
Authorized Official Phone
(585) 256-8900
Organization Subpart
No
Authorized Official Name Prefix Text
Mrs.
Authorized Official Credential Text
CASAC
Taxonomy Group 1
193200000X Multi-Specialty Group
Taxonomy Group 2
193200000X Multi-Specialty Group
Certification Date
February 11, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Developmentally Disabled Services Day Training Agency (251C00000X), Case Manager/Care Coordinator (171M00000X), Community Health Worker (172V00000X), Community/Behavioral Health Agency (251S00000X)
Other Identifiers
161440297 (NY)