NPIMap

Organization Active NPI

Centro de Diagnostico Y Tratamiento Guayanilla

  • Emergency Care Clinic/Center
  • Guayanilla, PR
National Provider Identifier
1194941567
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
License
07-B-3068 Issued in PR
Legal business name
CENTRO DE DIAGNOSTICO Y TRATAMIENTO GUAYANILLA
Practice address
CDT Guayanilla
Calle Jose de Diego #13
Guayanilla, PR 00656
Phone
(787) 835-4254
Fax
(787) 771-2295
NPI assigned
Apr 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Carmen R Rodriguez, MPA
Title
Directora Ejecutiva
Phone
(787) 771-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X 07-B-3068 PR Primary

Addresses

Primary practice location

CDT Guayanilla
Calle Jose de Diego #13
Guayanilla, PR 00656

Mailing address

PO Box 560550
Guayanilla, PR 00656
Phone (787) 835-4254

Other identifiers 10

IdentifierTypeStateIssuer
19104OtherPRER
00378OtherPRER
6700165OtherPRER
1000314OtherPRER
030707OtherPRER
40150OtherPRER
600328OtherPRER
S331OtherPRER
SH00409OtherPRER
09992OtherPRER

Other names 1

  • CDT de Guayanilla Other name

National Provider Directory

National Provider Directory
Tax ID family
Centro Pediatrico Metropolitano de Servicios de Habilitacion67 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194941567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 560550",
            "city": "GUAYANILLA",
            "state": "PR",
            "postal_code": "00656",
            "telephone_number": "787-835-4254",
            "fax_number": "787-771-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CDT GUAYANILLA",
            "address_2": "CALLE JOSE DE DIEGO #13",
            "city": "GUAYANILLA",
            "state": "PR",
            "postal_code": "00656",
            "telephone_number": "787-835-4254",
            "fax_number": "787-771-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE DIAGNOSTICO Y TRATAMIENTO GUAYANILLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTORA EJECUTIVA",
        "authorized_official_telephone_number": "787-771-2100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "PR",
            "license": "07-B-3068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ER",
            "identifier": "19104",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ER",
            "identifier": "00378",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ER",
            "identifier": "6700165",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ER",
            "identifier": "1000314",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ER",
            "identifier": "030707",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ER",
            "identifier": "40150",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ER",
            "identifier": "600328",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ER",
            "identifier": "S331",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ER",
            "identifier": "SH00409",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ER",
            "identifier": "09992",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CDT de Guayanilla",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Guayanilla, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.