Active NPI
White Cliff Corporation
- Health Maintenance Organization
- San Juan, PR
National Provider Identifier
1023306404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- Legal business name
- WHITE CLIFF CORPORATION
- Practice address
- Ave Ponce de Leon # 1519
Suite 809
San Juan, PR 00907-3907 - Phone
- (787) 399-0611
- Fax
- (787) 721-3444
- NPI assigned
- Jul 19, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Javier A Agrelo
- Title
- President
- Phone
- (787) 399-0611
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | Primary |
Addresses
Primary practice location
Ave Ponce de Leon # 1519
Suite 809
San Juan, PR 00907-3907
Mailing address
P.O. Box 8477
San Juan, PR 00910
Phone (787) 399-0611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 199155 | Other | PR | COPORATION NUMBER |
National Provider Directory
National Provider DirectoryLocations
1519 Ave Ponce de Leon
Ste 809
San Juan, PR 00909
Phone (787) 399-0611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346889600000",
"number": "1023306404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 8477",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00910",
"telephone_number": "787-399-0611",
"fax_number": "787-721-3444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE PONCE DE LEON # 1519",
"address_2": "SUITE 809",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009073907",
"telephone_number": "787-399-0611",
"fax_number": "787-721-3444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITE CLIFF CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-19",
"last_updated": "2012-09-06",
"status": "A",
"authorized_official_last_name": "AGRELO",
"authorized_official_first_name": "JAVIER",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-399-0611",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COPORATION NUMBER",
"identifier": "199155",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.