NPIMap

Organization Active NPI

Bella Vista Policlinic, Inc

  • Clinic/Center
  • Mayaguez, PR
National Provider Identifier
1043246788
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
10 CNC 99-331 Issued in PR
Legal business name
BELLA VISTA POLICLINIC, INC
Practice address
Ave Hostos
Number 770
Mayaguez, PR 00682-6353
Phone
(787) 834-6161
Fax
(787) 805-4635
NPI assigned
Jun 24, 2006
Organization subpart
No

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

National Provider Directory

National Provider Directory
Tax ID family
GRP Policlin Bella Vista4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

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. Enrique Rivera
Title
Administrative Asistant
Phone
(787) 834-6161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 10 CNC 99-331 PR Primary

Addresses

Primary practice location

Ave Hostos
Number 770
Mayaguez, PR 00682-6353

Mailing address

PO Box 850
Mayaguez, PR 00681-0850
Phone (787) 834-6161

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043246788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006810850",
            "telephone_number": "787-834-6161",
            "fax_number": "787-805-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE HOSTOS",
            "address_2": "NUMBER 770",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006826353",
            "telephone_number": "787-834-6161",
            "fax_number": "787-805-4635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA VISTA POLICLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASISTANT",
        "authorized_official_telephone_number": "787-834-6161",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": "10 CNC 99-331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, 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.