NPIMap

Organization Active NPI

Centro Servicios Primarios de Salud de Patillas Inc.

  • Clinic Pharmacy
  • Maunabo, PR
National Provider Identifier
1003203589
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
CENTRO SERVICIOS PRIMARIOS DE SALUD DE PATILLAS INC.
Practice address
45 Calle Munoz Rivera
Maunabo, PR 00707-2146
Phone
(787) 839-4320
Fax
(787) 861-4320
NPI assigned
Apr 22, 2015
Last updated
Apr 22, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTRO SERVICIOS PRIMARIOS DE SALUD DE PATILLAS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Authorized official

Name
Mrs. Mildred Morel, BBA
Title
Executive Director
Phone
(787) 839-4320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X Primary

Addresses

Primary practice location

45 Calle Munoz Rivera
Maunabo, PR 00707-2146

Mailing address

45 Calle Munoz Rivera
Maunabo, PR 00707-2146
Phone (787) 839-4320

Other identifiers 1

IdentifierTypeStateIssuer
MF366OtherPRPHARMACY

Other names 1

  • Clinica Satelite Maunabo Other name

National Provider Directory

National Provider Directory
Tax ID family
Centro Servicios Primarios de Salud de Patillas Inc-Maunabo14 organizations share this tax ID, including this one
Part of
Centro Servicios Primarios de Salud de Patillas Inc-Maunabo

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1003203589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 CALLE MUNOZ RIVERA",
            "city": "MAUNABO",
            "state": "PR",
            "postal_code": "007072146",
            "telephone_number": "787-839-4320",
            "fax_number": "787-861-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 CALLE MUNOZ RIVERA",
            "city": "MAUNABO",
            "state": "PR",
            "postal_code": "007072146",
            "telephone_number": "787-839-4320",
            "fax_number": "787-861-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO SERVICIOS PRIMARIOS DE SALUD DE PATILLAS INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRO SERVICIOS PRIMARIOS DE SALUD DE PATILLAS INC",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "MOREL",
        "authorized_official_first_name": "MILDRED",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-839-4320",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BBA"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY",
            "identifier": "MF366",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica Satelite Maunabo",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Maunabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.