NPIMap

Organization Active NPI

Centro Ararat Inc

Doing business as Centro Ararat San Juan

  • Multi-Specialty Clinic/Center
  • San Juan, PR
National Provider Identifier
1114577046
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
CENTRO ARARAT INC
Doing business as
Centro Ararat San Juan
Practice address
1503 Calle Prof Augusto Rodriguez Ste 601
San Juan, PR 00909-2276
Phone
(787) 497-0800
Fax
(787) 982-6464
NPI assigned
Sep 12, 2019
Last updated
Sep 12, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTRO ARARAT INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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

Authorized official

Name
Ivan Melendez-Rivera, MDNPI 1972528214
Title
Medical Director
Phone
(787) 284-5884

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Psychologist 103T00000X
Social Worker 104100000X
Nutrition Education Nutritionist 133NN1002X
Registered Dietitian 133V00000X
Registered Nurse 163W00000X
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X
Infectious Disease Physician 207RI0200X
Obstetrics & Gynecology Physician 207V00000X
Clinical Pharmacology Physician 208U00000X
Health Educator 174H00000X

Addresses

Primary practice location

1503 Calle Prof Augusto Rodriguez Ste 601
San Juan, PR 00909-2276

Mailing address

PO Box 7793
Ponce, PR 00732-7793
Phone (787) 284-5884

Other names 1

  • Centro Ararat San Juan Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Centro Ararat Inc7 organizations share this tax ID, including this one
Part of
Centro Ararat Inc

Other organizations with this tax ID 6

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

Locations

1503 Calle Prof Augusto Rodriguez
Ste 601
San Juan, PR 00909
Phone (787) 497-0800

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568246400000",
    "number": "1114577046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7793",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327793",
            "telephone_number": "787-284-5884",
            "fax_number": "787-651-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 CALLE PROF AUGUSTO RODRIGUEZ STE 601",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092276",
            "telephone_number": "787-497-0800",
            "fax_number": "787-982-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO ARARAT INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRO ARARAT INC",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A",
        "authorized_official_last_name": "MELENDEZ-RIVERA",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "787-284-5884",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Pharmacology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centro Ararat San Juan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.