NPIMap

Organization Active NPI

CDT Maricao Medical Center LLC

  • Emergency Care Clinic/Center
  • Maricao, PR
National Provider Identifier
1114336914
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
License
14450 Issued in PR
Legal business name
CDT MARICAO MEDICAL CENTER LLC
Practice address
11 Ave Luchetti
Maricao, PR 00606-1310
Phone
(787) 940-4685
NPI assigned
Aug 5, 2014
Last updated
Aug 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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

Authorized official

Name
Dr. Edrick N Ramirez, MD
Title
President
Phone
(787) 940-4685

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X 14450 PR Primary

Addresses

Primary practice location

11 Ave Luchetti
Maricao, PR 00606-1310

Mailing address

PO Box 938
Hatillo, PR 00659-0938
Phone (787) 940-4685

National Provider Directory

National Provider Directory
Tax ID family
CDT Maricao Medical Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11 Ave Luchetti
Maricao, PR 00606
Phone (787) 940-4685

NPI Registry JSON

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407196800000",
    "number": "1114336914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 938",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006590938",
            "telephone_number": "787-940-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 AVE LUCHETTI",
            "city": "MARICAO",
            "state": "PR",
            "postal_code": "006061310",
            "telephone_number": "787-940-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDT MARICAO MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-05",
        "last_updated": "2014-08-05",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "EDRICK",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-940-4685",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "PR",
            "license": "14450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maricao, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.