Clinica Dr Bague

Primary specialty

Personal Emergency Response AttendantTaxonomy code 146D00000X

License

12943 Issued in PR

Legal business name

CLINICA DR BAGUE

Practice address

Carr 681 KM 4.4
Islote
Arecibo, PR 00612-0000

Phone

(787) 878-0948

Fax

(787) 815-5810

NPI assigned

Mar 12, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ismael Bague, MD

Title

President

Phone

(787) 614-0494

Specialties & licenses 1

Addresses

Tax ID family

Centro Radiologico Bague2 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.

• Centro Radiologico Bague

  • Mammography Clinic/Center
  • Arecibo, PR
  • NPI 1346595980
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sylvia Enid Cabrera, MT

  • Medical Technologist
  • Arecibo, PR
  • NPI 1831256940
  NPD (past)

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268352000000",
    "number": "1093038465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1389",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006591389",
            "telephone_number": "787-878-0948",
            "fax_number": "787-815-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 681 KM 4.4",
            "address_2": "ISLOTE",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006120000",
            "telephone_number": "787-878-0948",
            "fax_number": "787-815-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DR BAGUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-12",
        "last_updated": "2010-03-12",
        "status": "A",
        "authorized_official_last_name": "BAGUE",
        "authorized_official_first_name": "ISMAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-614-0494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Personal Emergency Response Attendant",
            "state": "PR",
            "license": "12943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinica Salud Primaria de Arecibo LLC
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• Clinica Visual Mundo Ojos

• Personal Emergency Response Attendant in Arecibo, PR
• Providers in Arecibo, PR by specialty
• Personal Emergency Response Attendant in Puerto Rico

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