Organization Active NPI

Casa Joven del Caribe, Inc.

  • Medical Specialty Clinic/Center
  • Dorado, PR
National Provider Identifier
1215294343
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
16726 Issued in PR
Legal business name
CASA JOVEN DEL CARIBE, INC.
Practice address
537 Calle Ext S
Dorado, PR 00646-5016
Phone
(787) 796-2832
Fax
(787) 796-2832
NPI assigned
Apr 13, 2012
Last updated
Apr 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2012

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

Authorized official

Name
Mr. Samuel Agosto Lopez
Title
Director Servicios Clinicos
Phone
(787) 644-0194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 16726 PR Primary

Addresses

Primary practice location

537 Calle Ext S
Dorado, PR 00646-5016

Mailing address

PO Box 694
Dorado, PR 00646-0694
Phone (787) 796-2832

Other names 1

  • CLINICA RENACER Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1215294343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 694",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006460694",
            "telephone_number": "787-796-2832",
            "fax_number": "787-796-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 CALLE EXT S",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006465016",
            "telephone_number": "787-796-2832",
            "fax_number": "787-796-2832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA JOVEN DEL CARIBE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-13",
        "last_updated": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "AGOSTO LOPEZ",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "DIRECTOR SERVICIOS CLINICOS",
        "authorized_official_telephone_number": "787-644-0194",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PR",
            "license": "16726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLINICA RENACER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dorado, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; 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.