Organization Active NPI

Cidra Emergency Group

  • Urgent Care Clinic/Center
  • Cayey, PR
National Provider Identifier
1013129444
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CIDRA EMERGENCY GROUP
Practice address
114 Ave Luis Munoz Rivera S
Cayey, PR 00736-4703
Phone
(787) 396-0816
NPI assigned
May 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Ruben Mendez Benabe, M.D.
Title
President
Phone
(787) 396-0816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

114 Ave Luis Munoz Rivera S
Cayey, PR 00736-4703

Mailing address

114 Ave Luis Munoz Rivera S
Cayey, PR 00736-4703

Other identifiers 1

IdentifierTypeStateIssuer
7390033OtherPRHUMANA PROVIDER NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Cidra Emergency Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

114 Ave Luis Munoz Rivera S
Cayey, PR 00736
Phone (787) 263-0965

NPI Registry JSON

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

{
    "created_epoch": "1178409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013129444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 AVE LUIS MUNOZ RIVERA S",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007364703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 AVE LUIS MUNOZ RIVERA S",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007364703",
            "telephone_number": "787-396-0816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIDRA EMERGENCY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MENDEZ BENABE",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-396-0816",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA PROVIDER NUMBER",
            "identifier": "7390033",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.