Centro de Tratamiento Primario del Atlantico

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

17871 Issued in PR

Legal business name

CENTRO DE TRATAMIENTO PRIMARIO DEL ATLANTICO

Practice address

Carr. 123 KM. 73
Bo. Hato Viejo
Arecibo, PR 00612-9223

Phone

(787) 608-8047

NPI assigned

Sep 15, 2014

Organization subpart

No

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

Authorized official

Name

Polanska Rivera Martinez, M.D.

Title

President

Phone

(787) 608-8047

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1114328663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 4 BOX 13771",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006129223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 123 KM. 73",
            "address_2": "BO. HATO VIEJO",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006129223",
            "telephone_number": "787-608-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE TRATAMIENTO PRIMARIO DEL ATLANTICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "RIVERA MARTINEZ",
        "authorized_official_first_name": "POLANSKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-608-8047",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "17871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Arecibo, PR
• Providers in Arecibo, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.