Organization Active NPI

Corporacion Medica Oriental

  • Health Maintenance Organization
  • Humacao, PR
National Provider Identifier
1073706644
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
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

Updated by the provider on Feb 14, 2017

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20131024000710 PR Part B Supplier - Clinic/Group Practice 7810122033 Receives reassigned benefits from 1 practitioner
Practice locations: Humacao, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

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.

Verify at the official NPI Registry.