CDT Maricao Medical Center LLC

Key facts

NPI

1235536640

Entity type

Organization (NPI type 2)

Primary specialty

Radiology Clinic/Center 261QR0200X

License

SALUD RADIOLOGICA PR (PR)

Legal business name

CDT MARICAO MEDICAL CENTER LLC

Practice address

Ave. Luchetti Numero 9
Maricao, PR 00606

Phone

(787) 940-4685

NPI assigned

Dec 1, 2014

Organization subpart

No

Authorized official

Name

Dr. Edrick Ramirez

Title

President

Phone

(787) 940-4685

Corporate family (same tax ID) 2

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

• CDT Maricao Medical Center LLC Emergency Care Clinic/Center · Maricao, PR · NPI 1114336914
  NPD tax ID
• CDT Maricao Medical Center LLC Clinical Medical Laboratory · Maricao, PR · NPI 1467859736
  NPD tax ID

National Provider Directory

Tax ID family

CDT Maricao Medical Center LLC (3 organizations share this tax ID)

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 1, 2014.

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1235536640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE LUCHETTI NUMERO 9",
            "city": "MARICAO",
            "state": "PR",
            "postal_code": "00606",
            "telephone_number": "787-940-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. LUCHETTI NUMERO 9",
            "city": "MARICAO",
            "state": "PR",
            "postal_code": "00606",
            "telephone_number": "787-940-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDT MARICAO MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-01",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "EDRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-940-4685",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "PR",
            "license": "SALUD RADIOLOGICA PR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maricao, PR

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All providers in Maricao, PR · Radiology Clinic/Center in Puerto Rico