Organization Active NPI

Sala de Emergencia Shalom, Inc

  • Emergency Care Clinic/Center
  • Quebradillas, PR
National Provider Identifier
1083946412
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
License
13 Issued in PR
Legal business name
SALA DE EMERGENCIA SHALOM, INC
Practice address
Carr 2 KM 101 6
Terranova Marginal del Parque
Quebradillas, PR 00678
Phone
(787) 895-0914
Fax
(787) 895-4999
NPI assigned
Feb 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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

Authorized official

Name
Dr. Anibal Pagan Romero, M.D.
Title
Medical Director
Phone
(787) 895-0914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X 13 PR Primary

Addresses

Primary practice location

Carr 2 KM 101 6
Terranova Marginal del Parque
Quebradillas, PR 00678

Mailing address

PO Box 903
Quebradillas, PR 00678-0903
Phone (787) 895-0914

Other identifiers 1

IdentifierTypeStateIssuer
13OtherPREMERGENCY CARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1265760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265760000000",
    "number": "1083946412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 903",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006780903",
            "telephone_number": "787-895-0914",
            "fax_number": "787-895-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2 KM 101 6",
            "address_2": "TERRANOVA MARGINAL DEL PARQUE",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "00678",
            "telephone_number": "787-895-0914",
            "fax_number": "787-895-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALA DE EMERGENCIA SHALOM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-10",
        "last_updated": "2010-02-10",
        "status": "A",
        "authorized_official_last_name": "PAGAN ROMERO",
        "authorized_official_first_name": "ANIBAL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "787-895-0914",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "PR",
            "license": "13",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMERGENCY CARE",
            "identifier": "13",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quebradillas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; 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.