Centro Especialista de Medicina del Este C S P

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

10627 Issued in PR

Legal business name

CENTRO ESPECIALISTA DE MEDICINA DEL ESTE C S P

Practice address

Ave. Font Martelo # 334
Humacao, PR 00792

Phone

(787) 852-0886

Fax

(787) 852-0280

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Agustin Juan Lopez- Covas, M.D.NPI 1265492201

Title

Director

Phone

(787) 852-0886

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 3

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

• Agustin J Lopez-Covas, M.D.

  • Internal Medicine Physician
  • Humacao, PR
  • NPI 1265492201
  Medicare reassignment NPD Authorized official
• Mary Karen Pena, M.D.

  • Neurology Physician
  • Humacao, PR
  • NPI 1386746634
  NPD (past)
• Vicente Lam Siu, M.D.

  • Internal Medicine Physician
  • San Angelo, TX
  • NPI 1497958862
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1255450441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007920428",
            "telephone_number": "787-852-0886",
            "fax_number": "787-852-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. FONT MARTELO # 334",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00792",
            "telephone_number": "787-852-0886",
            "fax_number": "787-852-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO ESPECIALISTA DE MEDICINA DEL ESTE C S P",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "LOPEZ- COVAS",
        "authorized_official_first_name": "AGUSTIN",
        "authorized_official_middle_name": "JUAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-852-0886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "PR",
            "license": "10627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Humacao, PR
• Providers in Humacao, PR by specialty
• Adult Day Care Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.