NPIMap

Organization Active NPI

CDT Policlinica Familiar Florida

  • Clinical Medical Laboratory
  • Florida, PR
National Provider Identifier
1215082060
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
986 Issued in PR
Legal business name
CDT POLICLINICA FAMILIAR FLORIDA
Practice address
72 Calle Arizmendi
Florida, PR 00650-2006
Phone
(787) 822-3446
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Authorized official

Name
Vilma M Padilla
Title
Administrator
Phone
(787) 822-3446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 986 PR Primary

Addresses

Primary practice location

72 Calle Arizmendi
Florida, PR 00650-2006

Mailing address

PO Box 1336
Hatillo, PR 00659-1336

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100623000720 PR Part B Supplier - Independent Clinical Laboratory 5496886251 Practice locations: Florida, PR

National Provider Directory

National Provider Directory
Tax ID family
CDT Policlinica Familiar Florida6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1215082060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1336",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006591336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 CALLE ARIZMENDI",
            "city": "FLORIDA",
            "state": "PR",
            "postal_code": "006502006",
            "telephone_number": "787-822-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDT POLICLINICA FAMILIAR FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "PADILLA",
        "authorized_official_first_name": "VILMA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-822-3446"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florida, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.