NPIMap

Organization Active NPI

C & M Internal Medicine, PSC

  • Corporate Health Clinic/Center
  • Ponce, PR
National Provider Identifier
1144482985
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corporate Health Clinic/CenterTaxonomy code 261QC1800X
License
12838 Issued in PR
Legal business name
C & M INTERNAL MEDICINE, PSC
Practice address
1014 Paseo Real
Suite 1
Ponce, PR 00716-3500
Phone
(787) 284-0574
Fax
(787) 284-0574
NPI assigned
Jul 1, 2008
Last updated
Jul 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Dr. Carolyn Otero
Title
President
Phone
(708) 284-0574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corporate Health Clinic/Center 261QC1800X 12838 PR Primary

Addresses

Primary practice location

1014 Paseo Real
Suite 1
Ponce, PR 00716-3500

Mailing address

PO Box 76
Mercedita, PR 00715-0076
Phone (787) 284-0574

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1144482985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 76",
            "city": "MERCEDITA",
            "state": "PR",
            "postal_code": "007150076",
            "telephone_number": "787-284-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 PASEO REAL",
            "address_2": "SUITE 1",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007163500",
            "telephone_number": "787-284-0574",
            "fax_number": "787-284-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & M INTERNAL MEDICINE, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "OTERO",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-284-0574",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": "PR",
            "license": "12838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

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