Organization Active NPI

Brenda Aguayo PCP

  • Primary Care Clinic/Center
  • Vega Baja, PR
National Provider Identifier
1194131367
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
14441 Issued in PR
Legal business name
BRENDA AGUAYO PCP
Practice address
#29-B Calle Betances
Vega Baja, PR 00693
Phone
(787) 855-0586
NPI assigned
Jul 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Authorized official

Name
Dr. Brenda Aguayo Vicente, M.D.
Title
Generalista
Phone
(787) 855-0586

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 14441 PR Primary

Addresses

Primary practice location

#29-B Calle Betances
Vega Baja, PR 00693

Mailing address

PO Box 1097
Vega Baja, PR 00693

Other identifiers 1

IdentifierTypeStateIssuer
1326138132OtherPRNPI

National Provider Directory

National Provider Directory

Locations

29 Calle Ramon E Betances
#B
Vega Baja, PR 00693
Phone (787) 855-0586

Practitioners & affiliated clinicians

Practitioners 1

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": "1404777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1194131367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1097",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#29-B CALLE BETANCES",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00693",
            "telephone_number": "787-855-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA AGUAYO PCP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "VICENTE",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "AGUAYO",
        "authorized_official_title_or_position": "GENERALISTA",
        "authorized_official_telephone_number": "787-855-0586",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PR",
            "license": "14441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1326138132",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.