NPIMap

Organization Active NPI

Centro de Pediatria Y Medicina de Familia de Villalba, CSP

  • General Practice Physician
  • Villalba, PR
National Provider Identifier
1174566236
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
008564 Issued in PR
Legal business name
CENTRO DE PEDIATRIA Y MEDICINA DE FAMILIA DE VILLALBA, CSP
Practice address
Bo Tierra Santa
KM 58.2 Carr 149
Villalba, PR 00766
Phone
(787) 847-4667
Fax
(787) 847-4868
NPI assigned
Jun 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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

Authorized official

Name
Dr. Pedro A Perez Aybar Sr., MDNPI 1699890632
Title
President
Phone
(787) 847-4667

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 008564 PR Primary

Addresses

Primary practice location

Bo Tierra Santa
KM 58.2 Carr 149
Villalba, PR 00766

Mailing address

PO Box 6004
MSC 247
Villalba, PR 00766-6004
Phone (787) 847-4667

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1174566236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6004",
            "address_2": "MSC 247",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "007666004",
            "telephone_number": "787-847-4667",
            "fax_number": "787-847-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO TIERRA SANTA",
            "address_2": "KM 58.2 CARR 149",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "00766",
            "telephone_number": "787-847-4667",
            "fax_number": "787-847-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE PEDIATRIA Y MEDICINA DE FAMILIA DE VILLALBA, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "PEREZ AYBAR",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-847-4667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "008564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villalba, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.