NPIMap

Organization Active NPI

Concilio de Salud Integral de Loiza

  • Dentist
  • Loiza, PR
National Provider Identifier
1073808176
Registry record updated Feb 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19 Issued in PR
Legal business name
CONCILIO DE SALUD INTEGRAL DE LOIZA
Practice address
Carretera #188 Int #187
Loiza, PR 00772
Phone
(787) 876-2042
Fax
(787) 256-1900
NPI assigned
Jun 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2020

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

Authorized official

Name
Cesar A Rodriguez Roman, MHSA
Title
Director Ejecutivo
Phone
(787) 876-2042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 19 PR Primary

Addresses

Primary practice location

Carretera #188 Int #187
Loiza, PR 00772

Mailing address

PO Box 509
Loiza, PR 00772-0509
Phone (787) 876-2042

National Provider Directory

National Provider Directory
Tax ID family
Concilio de Salud Integral de Loiza6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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": "1308182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582848000000",
    "number": "1073808176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 509",
            "city": "LOIZA",
            "state": "PR",
            "postal_code": "007720509",
            "telephone_number": "787-876-2042",
            "fax_number": "787-256-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA #188 INT #187",
            "city": "LOIZA",
            "state": "PR",
            "postal_code": "00772",
            "telephone_number": "787-876-2042",
            "fax_number": "787-256-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCILIO DE SALUD INTEGRAL DE LOIZA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-16",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ ROMAN",
        "authorized_official_first_name": "CESAR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR EJECUTIVO",
        "authorized_official_telephone_number": "787-876-2042",
        "authorized_official_credential": "MHSA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PR",
            "license": "19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loiza, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; 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.