Organization Active NPI

Centro de Diagnostico Y Tratamiento de Enfermedades Neurologicas CSP

  • Neurology Physician
  • San Juan, PR
National Provider Identifier
1053748418
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
3617 Issued in PR
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

Updated by the provider on Mar 10, 2015

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)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
HT211AOtherPRPTAN

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.