Organization Active NPI

Instituto Fisiatrico de Aibonito CSP

  • Corporate Health Clinic/Center
  • Aibonito, PR
National Provider Identifier
1194170175
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corporate Health Clinic/CenterTaxonomy code 261QC1800X
License
12266 Issued in PR
Legal business name
INSTITUTO FISIATRICO DE AIBONITO CSP
Practice address
110 Calle Jose C Vazquez
Frente Hospital Menonita
Aibonito, PR 00705
Phone
(787) 735-2445
Fax
(787) 991-0885
NPI assigned
Apr 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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

Authorized official

Name
Dr. Marie C Lugo, MD
Title
President
Phone
(787) 486-7168

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corporate Health Clinic/Center 261QC1800X 12266 PR Primary

Addresses

Primary practice location

110 Calle Jose C Vazquez
Frente Hospital Menonita
Aibonito, PR 00705

Mailing address

PO Box 197
La Plata, PR 00786-0197
Phone (787) 735-2445

Other names 1

  • NONE Former legal business name

National Provider Directory

National Provider Directory

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": "1461715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1194170175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 197",
            "city": "LA PLATA",
            "state": "PR",
            "postal_code": "007860197",
            "telephone_number": "787-735-2445",
            "fax_number": "787-991-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CALLE JOSE C VAZQUEZ",
            "address_2": "FRENTE HOSPITAL MENONITA",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "00705",
            "telephone_number": "787-735-2445",
            "fax_number": "787-991-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTO FISIATRICO DE AIBONITO CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "LUGO",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-486-7168",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": "PR",
            "license": "12266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NONE",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Aibonito, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.