Active NPI
Sala de Emergencia Shalom, Inc
- Emergency Care Clinic/Center
- Quebradillas, PR
National Provider Identifier
1083946412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Care Clinic/Center
- License
- 13
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13 | Other | PR | EMERGENCY CARE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Isabela, PR
- NPI 1902039712
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.