NPIMap

Organization Active NPI

Centro Clinico del Yunque, CSP

  • Clinic/Center
  • Rio Grande, PR
National Provider Identifier
1265722383
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
011221 Issued in PR
Legal business name
CENTRO CLINICO DEL YUNQUE, CSP
Practice address
3001, Suite 247 Villas de Rio Grande
Rio Grande, PR 00745
Phone
(787) 887-7837
Fax
(787) 887-7837
NPI assigned
Apr 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Authorized official

Name
Dr. Jose Rolando Pena, M.D.
Title
President
Phone
(787) 887-7837

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 011221 PR Primary

Addresses

Primary practice location

3001, Suite 247 Villas de Rio Grande
Rio Grande, PR 00745

Mailing address

Box 3001, Suite 247 Villas de Rio Grande
Rio Grande, PR 00745
Phone (787) 887-7837

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1265722383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 3001, SUITE 247 VILLAS DE RIO GRANDE",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "00745",
            "telephone_number": "787-887-7837",
            "fax_number": "787-887-7837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001, SUITE 247 VILLAS DE RIO GRANDE",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "00745",
            "telephone_number": "787-887-7837",
            "fax_number": "787-887-7837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO CLINICO DEL YUNQUE, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-11",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ROLANDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-887-7837",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": "011221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.