NPIMap

Organization Active NPI

Municipio de Guanica

  • Emergency Care Clinic/Center
  • Guanica, PR
National Provider Identifier
1205029709
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
MUNICIPIO DE GUANICA
Practice address
Carretera 116 KM. 27.7
Guanica, PR 00653
Phone
(787) 821-0402
Fax
(787) 821-0402
NPI assigned
Aug 20, 2007
Last updated
Mar 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Authorized official

Name
Mr. Martin Vargas
Title
Major
Phone
(787) 821-2777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X PR Primary

Addresses

Primary practice location

Carretera 116 KM. 27.7
Guanica, PR 00653

Mailing address

PO Box 785
Guanica, PR 00653-0785
Phone (787) 821-1481

Other names 1

  • Centro de Salud Juan M. Santiago Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080324000429 PR Part B Supplier - Clinic/Group Practice 7214013812 Receives reassigned benefits from 12 practitioners
Practice locations: Guanica, PR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Municipo de Guanica3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1205029709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 785",
            "city": "GUANICA",
            "state": "PR",
            "postal_code": "006530785",
            "telephone_number": "787-821-1481",
            "fax_number": "787-821-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 116 KM. 27.7",
            "city": "GUANICA",
            "state": "PR",
            "postal_code": "00653",
            "telephone_number": "787-821-0402",
            "fax_number": "787-821-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNICIPIO DE GUANICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "MAJOR",
        "authorized_official_telephone_number": "787-821-2777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centro de Salud Juan M. Santiago",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Guanica, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.