NPIMap

Organization Active NPI

Centro Medico del Turabo Inc

Doing business as Grupo Emergencias Pediatricas Fajardo

  • Pediatric Emergency Medicine (Emergency Medicine) Physician
  • Fajardo, PR
National Provider Identifier
1083758163
Registry record updated Aug 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Emergency Medicine) PhysicianTaxonomy code 207PP0204X
License
6893 Issued in PR
Legal business name
CENTRO MEDICO DEL TURABO INC
Doing business as
Grupo Emergencias Pediatricas Fajardo
Practice address
Hima San Pablo Fajardo
Ave General Valero 404
Fajardo, PR 00738
Phone
(787) 655-0505
Fax
(787) 655-5086
NPI assigned
Feb 20, 2007
Last updated
Aug 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2013

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

Authorized official

Name
Mr. Orlando Rivera, LCDO
Title
Executive Director
Phone
(787) 653-3434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X 6893 PR Primary

Addresses

Primary practice location

Hima San Pablo Fajardo
Ave General Valero 404
Fajardo, PR 00738

Mailing address

PO Box 4980
Caguas, PR 00726
Phone (787) 653-3434

Other identifiers 9

IdentifierTypeStateIssuer
6893OtherPRMEDICAL LICENSE
12929OtherPRMEDICAL LICENSE
7291OtherPRMEDICAL LICENSE
11744OtherPRMEDICAL LICENSE
12373OtherPRMEDICAL LICENSE
14540OtherPRMEDICAL LICENSE
10483OtherPRMEDICAL LICENSE
10792OtherPRMEDICAL LICENSE
4494OtherPRMEDICAL LICENSE

Other names 1

  • GRUPO EMERGENCIAS PEDIATRICAS FAJARDO Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Centro Medico del Turabo Inc73 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376265600000",
    "number": "1083758163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4980",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00726",
            "telephone_number": "787-653-3434",
            "fax_number": "787-961-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIMA SAN PABLO FAJARDO",
            "address_2": "AVE GENERAL VALERO 404",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-655-0505",
            "fax_number": "787-655-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO MEDICO DEL TURABO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2013-08-12",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "ORLANDO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-653-3434",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCDO"
    },
    "taxonomies": [
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "PR",
            "license": "6893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "6893",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "12929",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "7291",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "11744",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "12373",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "14540",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "10483",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "10792",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "4494",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRUPO EMERGENCIAS PEDIATRICAS FAJARDO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fajardo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.