Organization Active NPI

Alzheimer'S Prevention Clinic & Research Center-PR

  • Exclusive Provider Organization
  • San Juan, PR
National Provider Identifier
1023565801
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
2764 Issued in PR
Legal business name
ALZHEIMER'S PREVENTION CLINIC & RESEARCH CENTER-PR
Practice address
867 Ave Munoz Rivera
Edif Vick Center Suite B-101
San Juan, PR 00925-2102
Phone
(939) 645-8154
Fax
(939) 437-4397
NPI assigned
Sep 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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

Authorized official

Name
Dr. Josefina A Melendez-Cabrero, PHDNPI 1093871709
Title
Clinical Director/Owner
Phone
(787) 457-7219

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 2764 PR Primary

Addresses

Primary practice location

867 Ave Munoz Rivera
Edif Vick Center Suite B-101
San Juan, PR 00925-2102

Mailing address

PO Box 194589
San Juan, PR 00919-4589
Phone (787) 457-7219

National Provider Directory

National Provider Directory

Locations

867 Ave Munoz Rivera
Ste B101
San Juan, PR 00925
Phone (939) 645-8154

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1023565801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 194589",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009194589",
            "telephone_number": "787-457-7219",
            "fax_number": "939-437-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 AVE MUNOZ RIVERA",
            "address_2": "EDIF VICK CENTER SUITE B-101",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009252102",
            "telephone_number": "939-645-8154",
            "fax_number": "939-437-4397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALZHEIMER'S PREVENTION CLINIC & RESEARCH CENTER-PR",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "MELENDEZ-CABRERO",
        "authorized_official_first_name": "JOSEFINA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "787-457-7219",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "PR",
            "license": "2764",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 8, 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.