NPIMap

Organization Active NPI

Advancer Local Development

  • Health Maintenance Organization
  • Hato Rey, PR
National Provider Identifier
1124225974
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
ADVANCER LOCAL DEVELOPMENT
Practice address
402 Munoz Rivera Avenue
Hato Rey, PR 00919-1060
Phone
(787) 756-8612
Fax
(787) 281-7809
NPI assigned
Jun 27, 2007
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Mrs. Luz Celenia Castellano
Title
Administrator
Phone
(787) 374-2001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

402 Munoz Rivera Avenue
Hato Rey, PR 00919-1060

Mailing address

PO Box 191060
San Juan, PR 00919-1060
Phone (787) 756-8612

Other names 1

  • Basic Medical Other name

National Provider Directory

National Provider Directory
Tax ID family
Advancer Local Development3 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.

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": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1124225974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191060",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009191060",
            "telephone_number": "787-756-8612",
            "fax_number": "787-281-7809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 MUNOZ RIVERA AVENUE",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "009191060",
            "telephone_number": "787-756-8612",
            "fax_number": "787-281-7809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCER LOCAL DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "CASTELLANO",
        "authorized_official_first_name": "LUZ",
        "authorized_official_middle_name": "CELENIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-374-2001",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Basic Medical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hato Rey, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.