NPIMap

Organization Active NPI

Instituto Medico de Ciales, Corp

  • Clinic/Center
  • Ciales, PR
National Provider Identifier
1124256813
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
9227 Issued in PR
Legal business name
INSTITUTO MEDICO DE CIALES, CORP
Practice address
25 Calle Jose de Diego
Ciales, PR 00638-3229
Phone
(787) 871-1146
Fax
(787) 871-1207
NPI assigned
Jul 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Authorized official

Name
Dr. Maria De Los Angeles Collazo, M.D
Title
President
Phone
(787) 871-1146

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 9227 PR Primary
Infusion Therapy Clinic/Center 261QI0500X 9227 PR
Physical Therapy Clinic/Center 261QP2000X 9227 PR
Pain Clinic/Center 261QP3300X 9227 PR
Research Clinic/Center 261QR1100X 9227 PR

Addresses

Primary practice location

25 Calle Jose de Diego
Ciales, PR 00638-3229

Mailing address

25 Calle Jose de Diego
Ciales, PR 00638-3229
Phone (787) 871-1146

National Provider Directory

National Provider Directory

Locations

25 Calle Jose de Diego
Ciales, PR 00638
Phone (787) 871-1146

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1124256813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CALLE JOSE DE DIEGO",
            "city": "CIALES",
            "state": "PR",
            "postal_code": "006383229",
            "telephone_number": "787-871-1146",
            "fax_number": "787-871-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CALLE JOSE DE DIEGO",
            "city": "CIALES",
            "state": "PR",
            "postal_code": "006383229",
            "telephone_number": "787-871-1146",
            "fax_number": "787-871-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTO MEDICO DE CIALES, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-01",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "COLLAZO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "DE LOS ANGELES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-871-1146",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": "9227",
            "primary": true
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "PR",
            "license": "9227",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PR",
            "license": "9227",
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "PR",
            "license": "9227",
            "primary": false
        },
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": "PR",
            "license": "9227",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ciales, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; 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.