Active NPI
Corporacion Medica Oriental
- Health Maintenance Organization
- Humacao, PR
National Provider Identifier
1073706644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- Legal business name
- CORPORACION MEDICA ORIENTAL
- Practice address
- 100 Calle Munoz Marin
Interior
Humacao, PR 00791-3455 - Phone
- (787) 285-5959
- NPI assigned
- Aug 27, 2007
- 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
- Mrs. Maylene Ivette Pratts Diaz
- Title
- Administrator
- Phone
- (787) 285-5959
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | PR | Primary |
Addresses
Primary practice location
100 Calle Munoz Marin
Interior
Humacao, PR 00791-3455
Mailing address
100 Calle Munoz Marin
Interior
Humacao, PR 00791-3455
Phone (787) 285-5959
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131024000710 | PR | Part B Supplier - Clinic/Group Practice | 7810122033 |
Receives reassigned benefits from 1 practitioner Practice locations: Humacao, PR |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neuromusculoskeletal Medicine & OMM Physician
- Naguabo, PR
- NPI 1285684217
PR
-
- Specialist
- Humacao, PR
- NPI 1114938339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487030400000",
"number": "1073706644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CALLE MUNOZ MARIN",
"address_2": "INTERIOR",
"city": "HUMACAO",
"state": "PR",
"postal_code": "007913455",
"telephone_number": "787-285-5959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CALLE MUNOZ MARIN",
"address_2": "INTERIOR",
"city": "HUMACAO",
"state": "PR",
"postal_code": "007913455",
"telephone_number": "787-285-5959"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORPORACION MEDICA ORIENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-27",
"last_updated": "2017-02-14",
"status": "A",
"authorized_official_last_name": "PRATTS DIAZ",
"authorized_official_first_name": "MAYLENE",
"authorized_official_middle_name": "IVETTE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "787-285-5959",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "PR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Humacao, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.