Organization Active NPI

Grupo Medico de Cidra, Inc.

  • Community Health Clinic/Center
  • Cidra, PR
National Provider Identifier
1013048248
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
GRUPO MEDICO DE CIDRA, INC.
Practice address
49 Calle Jose de Diego
Cidra, PR 00739-3361
Phone
(787) 739-5099
Fax
(787) 520-7101
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2016

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

Authorized official

Name
Dr. Alberto Fernandez
Title
Vice President
Phone
(787) 739-5099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

49 Calle Jose de Diego
Cidra, PR 00739-3361

Mailing address

PO Box 730
Cidra, PR 00739-0730
Phone (787) 739-5099

National Provider Directory

National Provider Directory

Locations

49 Calle Jose de Diego
Cidra, PR 00739
Phone (787) 739-5099

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472428800000",
    "number": "1013048248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 730",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007390730",
            "telephone_number": "787-739-5099",
            "fax_number": "787-739-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 CALLE JOSE DE DIEGO",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007393361",
            "telephone_number": "787-739-5099",
            "fax_number": "787-520-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUPO MEDICO DE CIDRA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2016-08-29",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "787-739-5099",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cidra, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; 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.