Organization Active NPI

Centro Medico Policlinicas de Puerto Rico, Inc.

  • Health Maintenance Organization
  • Ponce,, PR
National Provider Identifier
1073805578
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
CENTRO MEDICO POLICLINICAS DE PUERTO RICO, INC.
Doing business as
Policlinicas de Ponce
Practice address
Plazoleta Ponce Cash & Carry, Local # 4
Urb. Morrell Campos
Ponce,, PR 00732
Phone
(787) 812-3194
Fax
(787) 290-6689
NPI assigned
May 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Authorized official

Name
Mr. Jeffrey G Droz, M.H.S.A.
Title
Executive Director
Phone
(787) 225-2233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

Plazoleta Ponce Cash & Carry, Local # 4
Urb. Morrell Campos
Ponce,, PR 00732

Mailing address

Pmb261 Box 7105
Ponce, PR 00732
Phone (787) 284-1566

Other names 1

  • Policlinicas de Ponce Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1073805578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB261 BOX 7105",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00732",
            "telephone_number": "787-284-1566",
            "fax_number": "787-290-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZOLETA PONCE CASH & CARRY, LOCAL # 4",
            "address_2": "URB. MORRELL CAMPOS",
            "city": "PONCE,",
            "state": "PR",
            "postal_code": "00732",
            "telephone_number": "787-812-3194",
            "fax_number": "787-290-6689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO MEDICO POLICLINICAS DE PUERTO RICO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-03",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "DROZ",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-225-2233",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.H.S.A."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Policlinicas de Ponce",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ponce,, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; 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.