Centro de Medicine de Familia de Juncos

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9865

Legal business name

CENTRO DE MEDICINE DE FAMILIA DE JUNCOS

Practice address

Pedro Cruz Marginal #52 Urb Valencia #1
Juncos, PR 00777

Phone

(787) 734-4488

Fax

(787) 734-5460

NPI assigned

Nov 17, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nannette Berrios Ocasio, MD

Title

Medicode Familia Presidente

Phone

(787) 734-4488

Specialties & licenses 1

Addresses

Other identifiers 10

Practitioners 1

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.

• Nannette Berrios, MD

  • Family Medicine Physician
  • Juncos, PR
  • NPI 1346275476
  NPD (past)

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104808807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1569",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007771569",
            "telephone_number": "787-734-4488",
            "fax_number": "787-734-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PEDRO CRUZ MARGINAL #52 URB VALENCIA #1",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "00777",
            "telephone_number": "787-734-4488",
            "fax_number": "787-734-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE MEDICINE DE FAMILIA DE JUNCOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERRIOS OCASIO",
        "authorized_official_first_name": "NANNETTE",
        "authorized_official_title_or_position": "MEDICODE FAMILIA PRESIDENTE",
        "authorized_official_telephone_number": "787-734-4488",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": "9865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "067845",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "500097SE",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "6660041",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALIC",
            "identifier": "PE2342",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROSSAM",
            "identifier": "34135",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED MEDICAL CHOICE",
            "identifier": "3471",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMC",
            "identifier": "8230",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTI",
            "identifier": "200228",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "82139",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UIA",
            "identifier": "3609865",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Casa Blanca Home Care Boutique LLC
• David Castillo-Morales, MD
• Alexander Castro Acevedo, MD
• Erika E Cay
• Centro Agroecologico de Educacion Especial
• Centro Quiropractico Dr Juan M Lopez DC-PSC
• CF Pediatric Care Center P.S.C.
• Nelcha Chiclana Montanez, CPHT
• Alexandra Cid Aponte
• Clinica del Desarrollo de la Ninez Inc

• Family Medicine Physician in Juncos, PR
• Providers in Juncos, PR by specialty
• Family Medicine Physician in Puerto Rico

• 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.