Active NPI
Centro de Diagnostico Y Tratamiento de Enfermedades Neurologicas CSP
- Neurology Physician
- San Juan, PR
National Provider Identifier
1053748418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 3617
- Legal business name
- CENTRO DE DIAGNOSTICO Y TRATAMIENTO DE ENFERMEDADES NEUROLOGICAS CSP
- Practice address
- 420 Ave Ponce de Leon
Suite 103
San Juan, PR 00918-3416 - Phone
- (787) 754-0145
- Fax
- (787) 764-3342
- NPI assigned
- Oct 1, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hector R. Stella-Arrillaga, M.D.
- Title
- Director
- Phone
- (787) 754-0145
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 3617 | PR | Primary |
Addresses
Primary practice location
420 Ave Ponce de Leon
Suite 103
San Juan, PR 00918-3416
Mailing address
420 Ave Ponce de Leon
Suite 103
San Juan, PR 00918-3416
Phone (787) 754-0145
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HT211A | Other | PR | PTAN |
National Provider Directory
National Provider DirectoryLocations
421 Ave Munoz Rivera
Bldg Su
San Juan, PR 00918
Phone (787) 754-0145
421 Ave Munoz Rivera
Ste 103
San Juan, PR 00918
Phone (787) 754-0145
420 Ave Ponce de Leon
Ste 103
San Juan, PR 00918
Phone (787) 754-0145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1425945600000",
"number": "1053748418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 AVE PONCE DE LEON",
"address_2": "SUITE 103",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009183416",
"telephone_number": "787-754-0145",
"fax_number": "787-764-3342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 AVE PONCE DE LEON",
"address_2": "SUITE 103",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009183416",
"telephone_number": "787-754-0145",
"fax_number": "787-764-3342"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRO DE DIAGNOSTICO Y TRATAMIENTO DE ENFERMEDADES NEUROLOGICAS CSP",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-01",
"last_updated": "2015-03-10",
"status": "A",
"authorized_official_last_name": "STELLA-ARRILLAGA",
"authorized_official_first_name": "HECTOR",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "787-754-0145",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PR",
"license": "3617",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "HT211A",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Centro de Cuidado Gineco Obstetrico
- Centro de Desarrollo Psico-Organizacional Y Psicoeducativo, Inc.
- Centro de Diabetes Para PR
- Centro de Diabetes Y Osteoporosis de PR
- Centro de Diagnostico Para Inteligencias Multiples
- Centro de Diagnostico Y Tratamiento Oftalmologico, Inc
- Centro de Endodoncia Y Periodoncia del Caribe
- Centro de Enfermedades Alergicas Y Ambientales, C.S.P.
- Centro de Gastroenterologia
- Centro de Ginecologia Y Obstetricia Dr. Carlos a Fonseca Salgado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.