NPIMap

Organization Active NPI

Ipa Policlinica Villa Los Santos

  • Health Service Clinic/Center
  • Arecibo, PR
National Provider Identifier
1124231246
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
IPA POLICLINICA VILLA LOS SANTOS
Practice address
Urb. Villa Los Santos
Calle 16 V-1
Arecibo, PR 00612
Phone
(787) 879-1585
Fax
(787) 879-4315
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Mrs. Carmen Melendez Acevedo, REGISTER NURSE
Title
Supervisor
Phone
(787) 879-1585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

Urb. Villa Los Santos
Calle 16 V-1
Arecibo, PR 00612

Mailing address

Urb. Villa Los Santos
Calle 16 V-1
Arecibo, PR 00612
Phone (787) 879-1585

Other identifiers 1

IdentifierTypeStateIssuer
66051521737OtherPRTAX ID

Other names 1

  • CENTRO VACUNACION IPA29 Other name

National Provider Directory

National Provider Directory
Tax ID family
Centro Vacunacion Ipa294 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1124231246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. VILLA LOS SANTOS",
            "address_2": "CALLE 16 V-1",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-879-1585",
            "fax_number": "787-879-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. VILLA LOS SANTOS",
            "address_2": "CALLE 16 V-1",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-879-1585",
            "fax_number": "787-879-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IPA POLICLINICA VILLA LOS SANTOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "ACEVEDO",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "MELENDEZ",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "787-879-1585",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTER NURSE"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "66051521737",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRO VACUNACION IPA29",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.