Organization Active NPI

White Cliff Corporation

  • Health Maintenance Organization
  • San Juan, PR
National Provider Identifier
1023306404
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
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

Updated by the provider on Sep 6, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
199155OtherPRCOPORATION NUMBER

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.