NPIMap

Organization Active NPI

Grupo Medico Centro Medicina Especilizada

  • Urgent Care Clinic/Center
  • Cidra, PR
National Provider Identifier
1093036840
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
122 Issued in PR
Legal business name
GRUPO MEDICO CENTRO MEDICINA ESPECILIZADA
Practice address
Barcelo #12 , Esq. #173
Cidra, PR 00739-0000
Phone
(787) 466-6828
Fax
(787) 739-5525
NPI assigned
Jun 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Authorized official

Name
Gabriel Collazo, P. E.
Title
President
Phone
(787) 466-6828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 122 PR Primary

Addresses

Primary practice location

Barcelo #12 , Esq. #173
Cidra, PR 00739-0000

Mailing address

Barcelo #12 , Esq. #173
Cidra, PR 00739-0000
Phone (787) 466-6828

National Provider Directory

National Provider Directory
Tax ID family
Centro Medicina Especializada2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1093036840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BARCELO #12 , ESQ. #173",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007390000",
            "telephone_number": "787-466-6828",
            "fax_number": "787-739-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BARCELO #12 , ESQ. #173",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007390000",
            "telephone_number": "787-466-6828",
            "fax_number": "787-739-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUPO MEDICO CENTRO MEDICINA ESPECILIZADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-16",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "COLLAZO",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-466-6828",
        "authorized_official_credential": "P. E."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "PR",
            "license": "122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cidra, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.