CDT Centro de Medicina Primaria de Vega Alta Corp

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CDT CENTRO DE MEDICINA PRIMARIA DE VEGA ALTA CORP

Practice address

3 Calle Luis Munoz Rivera
Vega Alta, PR 00692

Phone

(787) 883-0124

Fax

(787) 883-0222

NPI assigned

May 20, 2016

Last updated

Aug 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Fernando A. Garcia, MD

Title

President

Phone

(787) 883-0124

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1033566948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CALLE LUIS MUNOZ RIVERA",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "00692",
            "telephone_number": "787-883-0124",
            "fax_number": "787-883-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CALLE LUIS MUNOZ RIVERA",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "00692",
            "telephone_number": "787-883-0124",
            "fax_number": "787-883-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDT CENTRO DE MEDICINA PRIMARIA DE VEGA ALTA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-883-0124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam Carrillo, RPH
• Augusto E Carrion, O.D.
• Paula Y Cartagena, M.S.W.
• Antonio Luis Casiano, OPTICIAN
• Bryan Castillo Figueroa, DMD
• CDT Centro de Medicina Primaria de Vega Alta Corp
• Gustavo Cedeno, M.D.
• Centro Ashtar de Terapia Fisica
• Centro Clinico de Vega Alta Corp
• Centro de Cuidados Preventivos Las Vegas LLC

• Clinical Medical Laboratory in Vega Alta, PR
• Providers in Vega Alta, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.