Policlinica Dr. Jose Mora Delgado, Inc.

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

POLICLINICA DR. JOSE MORA DELGADO, INC.

Practice address

7342 Ave Agustin Ramos Calero
Isabela, PR 00662-3466

Phone

(787) 872-6815

Fax

(787) 872-7095

NPI assigned

Sep 20, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jose A. Mora, M.D.

Title

President Board of Directors

Phone

(787) 872-7095

Specialties & licenses 1

Addresses

Other names 1

• Policlinica Dr. Mora, Inc. Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1003124405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 526",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006620526",
            "telephone_number": "787-872-6815",
            "fax_number": "787-872-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7342 AVE AGUSTIN RAMOS CALERO",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006623466",
            "telephone_number": "787-872-6815",
            "fax_number": "787-872-7095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLICLINICA DR. JOSE MORA DELGADO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "MORA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "787-872-7095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Policlinica Dr. Mora, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jessica N. Portela Soto, M.D.

• Emergency Care Clinic/Center in Isabela, PR
• Providers in Isabela, PR by specialty
• Emergency Care Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.