NPIMap

Organization Active NPI

Centro de Diagnostico Y Tratamiento

  • Multi-Specialty Clinic/Center
  • Manati, PR
National Provider Identifier
1104033356
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
CENTRO DE DIAGNOSTICO Y TRATAMIENTO
Practice address
10 Calle Quinones
Manati, PR 00674-5013
Phone
(787) 854-2292
Fax
(787) 854-2092
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Juan Aubin Cruz
Title
Alcalde
Phone
(787) 854-2292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

10 Calle Quinones
Manati, PR 00674-5013

Mailing address

Carr. # 10 KM. 50.0
Manati, PR 00674
Phone (787) 854-2292

Other identifiers 1

IdentifierTypeStateIssuer
4948OtherPRINTERNATIONAL MEDICAL CAR

National Provider Directory

National Provider Directory
Tax ID family
Centro de Diagnostico Y Tratamiento6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104033356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARR. # 10 KM. 50.0",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-854-2292",
            "fax_number": "787-854-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CALLE QUINONES",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006745013",
            "telephone_number": "787-854-2292",
            "fax_number": "787-854-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE DIAGNOSTICO Y TRATAMIENTO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "AUBIN",
        "authorized_official_title_or_position": "ALCALDE",
        "authorized_official_telephone_number": "787-854-2292",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL MEDICAL CAR",
            "identifier": "4948",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.