NPIMap

Organization Active NPI

Templo Sagrado de Iniciacion Resurrecion Y Ascencion Inc

  • Specialist
  • Juncos, PR
National Provider Identifier
1265723977
Registry record updated Apr 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
47784 Issued in PR
Legal business name
TEMPLO SAGRADO DE INICIACION RESURRECION Y ASCENCION INC
Practice address
40 Teodomiro Delfaus St
Juncos, PR 00777
Phone
(510) 606-7615
NPI assigned
Apr 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2011

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

Authorized official

Name
Dr. Federico Delgado, PHD
Title
High Priest
Phone
(510) 606-7516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 47784 PR Primary

Addresses

Primary practice location

40 Teodomiro Delfaus St
Juncos, PR 00777

Mailing address

40 Teodomiro Delfaus St
Juncos, PR 00777
Phone (510) 606-7615

Other names 1

  • Templo Sagrado de IRA Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303948800000",
    "number": "1265723977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 TEODOMIRO DELFAUS ST",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "00777",
            "telephone_number": "510-606-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 TEODOMIRO DELFAUS ST",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "00777",
            "telephone_number": "510-606-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMPLO SAGRADO DE INICIACION RESURRECION Y ASCENCION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-28",
        "last_updated": "2011-04-28",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "FEDERICO",
        "authorized_official_title_or_position": "HIGH PRIEST",
        "authorized_official_telephone_number": "510-606-7516",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "47784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Templo Sagrado de IRA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Juncos, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.