Accountable Care Organization of PR

Key facts

NPI

1124308200

Entity type

Organization (NPI type 2)

Primary specialty

Specialist 174400000X

Legal business name

ACCOUNTABLE CARE ORGANIZATION OF PR

Practice address

1551 Alda St
201 Urb Caribe
San Juan, PR 00926

Phone

(787) 625-2500

Fax

(787) 625-0294

NPI assigned

Aug 22, 2011

Organization subpart

No

Authorized official

Name

Mr. Roberto Luis Bengoa

Title

Ceo

Phone

(787) 625-2500

Corporate family (same tax ID) 1

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

• Accountable Care Organization of PR Dba Aco Salud Specialist · San Juan, PR · NPI 1033541271
  NPD tax ID

National Provider Directory

Tax ID family

Accountable Care Organization of PR (2 organizations share this tax ID)

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2011.

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1124308200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 CALLE ALDA",
            "address_2": "CARIBE SUITE 201",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009262709",
            "telephone_number": "787-625-2500",
            "fax_number": "787-625-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 ALDA ST",
            "address_2": "201 URB CARIBE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-625-2500",
            "fax_number": "787-625-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCOUNTABLE CARE ORGANIZATION OF PR",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "BENGOA",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "787-625-2500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

• Ac Transportation Services LLC
• Luis Antonio Acaba, M.D.
• Guillermo Acaron Souffront, M.D.
• Ines Maria Acaron, D.D.S.
• Acc Neurology Group PSC
• Accountable Care Organization of PR Dba Aco Salud
• Accurate Ambulance
• Vivian Lourdes Acebal Lopez, M.D.
• Lorena Angeli Acevedo Fontanez
• Brian Oneill Acevedo Fuentes, MD

All providers in San Juan, PR · Specialist in Puerto Rico