Organization Active NPI

Dra Yazmin Mojica-Arroyo, CSP

  • Exclusive Provider Organization
  • Juana Diaz, PR
National Provider Identifier
1245424902
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
13804 Issued in PR
Legal business name
DRA YAZMIN MOJICA-ARROYO, CSP
Practice address
Urb Palacios del Prado
Calle Pacifico L 147
Juana Diaz, PR 00795
Phone
(787) 382-9070
NPI assigned
Sep 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Authorized official

Name
Dr. Yazmin Mojica-Arroyo, MDNPI 1306831797
Title
Owner
Phone
(787) 382-9070

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
Exclusive Provider Organization 302F00000X 13804 PR Primary

Addresses

Primary practice location

Urb Palacios del Prado
Calle Pacifico L 147
Juana Diaz, PR 00795

Mailing address

Urb Palacios del Prado
Calle Pacifico L 147
Juana Diaz, PR 00795
Phone (787) 382-9070

Other identifiers 5

IdentifierTypeStateIssuer
200147OtherPRMMM
1780OtherPRAMERICAN HEALTH MEDICARE
2973OtherPRPREFERRED MEDICARE CHOICE
7950029OtherPRHUMANA DE PR
84038 MOOtherPRTRIPLE S INC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150623002572 PR Part B Supplier - Clinic/Group Practice 1456662022 Receives reassigned benefits from 1 practitioner
Practice locations: Juana Diaz, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1245424902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB PALACIOS DEL PRADO",
            "address_2": "CALLE PACIFICO L 147",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "00795",
            "telephone_number": "787-382-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB PALACIOS DEL PRADO",
            "address_2": "CALLE PACIFICO L 147",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "00795",
            "telephone_number": "787-382-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRA YAZMIN MOJICA-ARROYO, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "MOJICA-ARROYO",
        "authorized_official_first_name": "YAZMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-382-9070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "PR",
            "license": "13804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "200147",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH MEDICARE",
            "identifier": "1780",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED MEDICARE CHOICE",
            "identifier": "2973",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA DE PR",
            "identifier": "7950029",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S INC",
            "identifier": "84038 MO",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Juana Diaz, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.