Active NPI
Casa Joven del Caribe, Inc.
- Medical Specialty Clinic/Center
- Dorado, PR
National Provider Identifier
1215294343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 16726
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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
- Carlos J Febles Mena (Laboratorio Clinico Genesis Del Dorado)
- Lindanela Carrion Martinez, PSYD
- Carrion Psychology Group LLC
- Katherine L Carrion
- Casa de Transformacion Y Restauracion Familiar
- Casa Joven del Caribe, Inc.
- Cassiopeia Management Group LLC
- Maria Cristina Castellvi, DMD
- Yamil E. Castillo Beauchamp, MD
- Ccardona LLC
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.