Organization Active NPI

Policlinica Dr Marin CSP

  • General Practice Physician
  • Yauco, PR
National Provider Identifier
1144491481
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
POLICLINICA DR MARIN CSP
Practice address
Comercio St # 61
Yauco, PR 00694
Phone
(787) 856-0844
Fax
(787) 267-8777
NPI assigned
Mar 14, 2008
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Radames Marin Roman, M.D.
Title
President
Phone
(787) 856-0844

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X
Obstetrics & Gynecology Physician 207V00000X
Pediatrics Physician 208000000X
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

Comercio St # 61
Yauco, PR 00694

Mailing address

P O Box 1665
Yauco, PR 00698
Phone (787) 856-0844

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1144491481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 1665",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "00698",
            "telephone_number": "787-856-0844",
            "fax_number": "787-267-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMERCIO ST # 61",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "00694",
            "telephone_number": "787-856-0844",
            "fax_number": "787-267-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLICLINICA DR MARIN CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MARIN ROMAN",
        "authorized_official_first_name": "RADAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-856-0844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yauco, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.