Organization Active NPI

CFT Multi Services LLC

  • Public Health & General Preventive Medicine Physician
  • Villalba, PR
National Provider Identifier
1215680343
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
Legal business name
CFT MULTI SERVICES LLC
Practice address
26 Calle Munoz Rivera
Villalba, PR 00766-3031
Phone
(787) 901-6802
NPI assigned
Jan 29, 2022
Last updated
Jan 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Authorized official

Name
Edelmiro A Carrillo Rodriguez, MDNPI 1699948430
Title
President
Phone
(787) 901-6802

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0901X Primary

Addresses

Primary practice location

26 Calle Munoz Rivera
Villalba, PR 00766-3031

Mailing address

PO Box 1402
Guayama, PR 00785-1402
Phone (787) 901-6802

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221229002808 PR Part B Supplier - Clinic/Group Practice 9436529864 Receives reassigned benefits from 1 practitioner
Practice locations: Villalba, PR

National Provider Directory

National Provider Directory

Locations

26 Calle Munoz Rivera
Villalba, PR 00766
Phone (787) 437-4020

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1643414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1215680343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1402",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007851402",
            "telephone_number": "787-901-6802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CALLE MUNOZ RIVERA",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "007663031",
            "telephone_number": "787-901-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CFT MULTI SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-29",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "CARRILLO RODRIGUEZ",
        "authorized_official_first_name": "EDELMIRO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-901-6802",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villalba, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.