NPIMap

Organization Active NPI

Clinica Espanola, Inc.

  • Clinical Medical Laboratory
  • Mayaguez, PR
National Provider Identifier
1205052131
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
46 Issued in PR
Legal business name
CLINICA ESPANOLA, INC.
Practice address
106 KM 0.5 Interior
Mayaguez, PR 00680-0000
Phone
(787) 832-0404
Fax
(787) 832-2094
NPI assigned
Apr 18, 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
Mr. David Rafael Agrait
Title
It Director
Phone
(787) 832-0404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 46 PR Primary

Addresses

Primary practice location

106 KM 0.5 Interior
Mayaguez, PR 00680-0000

Mailing address

PO Box 490
Mayaguez, PR 00681-0490
Phone (787) 832-0404

National Provider Directory

National Provider Directory
Tax ID family
Clinica Espanola Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205052131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006810490",
            "telephone_number": "787-832-0404",
            "fax_number": "787-832-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 KM 0.5 INTERIOR",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006800000",
            "telephone_number": "787-832-0404",
            "fax_number": "787-832-2094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA ESPANOLA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AGRAIT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RAFAEL",
        "authorized_official_title_or_position": "IT DIRECTOR",
        "authorized_official_telephone_number": "787-832-0404",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "46",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, 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.