Organization Active NPI

Centro Terapeutico Glorimar Vega Inc.

  • Clinic/Center
  • Camuy, PR
National Provider Identifier
1093234544
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CENTRO TERAPEUTICO GLORIMAR VEGA INC.
Practice address
Carr 2 Interior Kil 92.3
Barrio Puente Pena
Camuy, PR 00627
Phone
(787) 680-1200
Fax
(787) 680-1200
NPI assigned
Sep 15, 2017
Last updated
Aug 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Authorized official

Name
Glorimar Vega
Title
Owner
Phone
(787) 378-9807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

Carr 2 Interior Kil 92.3
Barrio Puente Pena
Camuy, PR 00627

Mailing address

HC 5 Box 30395
Camuy, PR 00627-9581
Phone (787) 378-9807

Other practice location 1

3361 Ave Militar carr #2 km 112.3
Isabela, PR 00662
Phone (787) 378-9807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210112000093 PR Part B Supplier - Clinic/Group Practice 5597178533 Receives reassigned benefits from 2 practitioners
Practice locations: Camuy, PR; Isabela, PR

National Provider Directory

National Provider Directory

Locations

3361 Ave Militar
Isabela, PR 00662
Phone (787) 448-2904

3361 Ave Militar
#2
Isabela, PR 00662
Phone (787) 378-9807

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1093234544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 5 BOX 30395",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006279581",
            "telephone_number": "787-378-9807",
            "fax_number": "787-680-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2 INTERIOR KIL 92.3",
            "address_2": "BARRIO PUENTE PENA",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "00627",
            "telephone_number": "787-680-1200",
            "fax_number": "787-680-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3361 Ave Militar carr #2 km 112.3",
            "address_purpose": "LOCATION",
            "city": "Isabela",
            "state": "PR",
            "postal_code": "00662",
            "country_code": "US",
            "telephone_number": "787-378-9807",
            "fax_number": "787-680-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTRO TERAPEUTICO GLORIMAR VEGA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-15",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "VEGA",
        "authorized_official_first_name": "GLORIMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-378-9807"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camuy, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.