Centro Clinico del Este, PSC

Primary specialty

SpecialistTaxonomy code 174400000X

License

8213 Issued in PR

Legal business name

CENTRO CLINICO DEL ESTE, PSC

Practice address

L2 Calle 6
Villas de Rio Grande
Rio Grande, PR 00745-2825

Phone

(787) 888-8888

Fax

(787) 888-8887

NPI assigned

Nov 10, 2006

Organization subpart

No

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

Authorized official

Name

Edward Nieves-RomanNPI 1669580635

Title

Presidente

Phone

(787) 888-8888

Specialties & licenses 1

Addresses

Practitioners 1

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

• Edward Nieves-Roman, M.D.

  • Internal Medicine Physician
  • Rio Grande, PR
  • NPI 1669580635
  NPD (past) Authorized official

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376438400000",
    "number": "1053482422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "L2 CALLE 6",
            "address_2": "VILLAS DE RIO GRANDE",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007452825",
            "telephone_number": "787-888-8888",
            "fax_number": "787-888-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "L2 CALLE 6",
            "address_2": "VILLAS DE RIO GRANDE",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007452825",
            "telephone_number": "787-888-8888",
            "fax_number": "787-888-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO CLINICO DEL ESTE, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2013-08-14",
        "status": "A",
        "authorized_official_last_name": "NIEVES-ROMAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-888-8888"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "8213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samary Carrasquillo, MS. SLP
• Veronica Carrasquillo, RPT
• Gizel Casanova, LND
• Cristina P Castillo Mieses, MD
• Barbara Castillo-Ortega, RPHTCH
• Centro Clinico del Yunque, CSP
• Centro de Diagnostico Y Tratamiento de Rio Grande
• Centro de Diagnostico Y Tratamiento Rio Grande (CDT Rio Grande)
• Centro de Especialistas Cuidad del Yunque
• Centro de Evaluacion Y Tratamiento Psicologico del Noreste CSP

• Specialist in Rio Grande, PR
• Providers in Rio Grande, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; 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.