NPIMap

Organization Active NPI

Centro de Medicina Integral de Manati,Inc

  • Federal Public Health Clinic/Center
  • Manati, PR
National Provider Identifier
1043675622
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federal Public Health Clinic/CenterTaxonomy code 261QP0904X
Legal business name
CENTRO DE MEDICINA INTEGRAL DE MANATI,INC
Practice address
77 Bo Cotto
Urbanizacion Felix Cordova Davila
Manati, PR 00674-0000
Phone
(787) 884-4700
Fax
(787) 884-9719
NPI assigned
Dec 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

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

Authorized official

Name
Dr. Mildalias Dominguez Pascual, MD
Title
President
Phone
(787) 884-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federal Public Health Clinic/Center 261QP0904X Primary

Addresses

Primary practice location

77 Bo Cotto
Urbanizacion Felix Cordova Davila
Manati, PR 00674-0000

Mailing address

PO Box 4317
Vega Baja, PR 00694-4317
Phone (787) 884-4700

National Provider Directory

National Provider Directory
Tax ID family
Centro de Medicina Integral de Manati3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450828800000",
    "number": "1043675622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4317",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006944317",
            "telephone_number": "787-884-4700",
            "fax_number": "787-884-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 BO COTTO",
            "address_2": "URBANIZACION FELIX CORDOVA DAVILA",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006740000",
            "telephone_number": "787-884-4700",
            "fax_number": "787-884-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE MEDICINA INTEGRAL DE MANATI,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-23",
        "last_updated": "2015-12-23",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ PASCUAL",
        "authorized_official_first_name": "MILDALIAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-884-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP0904X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, Federal",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.