Organization Active NPI

Casa Joven del Caribe, Inc.

  • Clinic Pharmacy
  • Dorado, PR
National Provider Identifier
1265796635
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
CASA JOVEN DEL CARIBE, INC.
Practice address
Calle Extension Sur #537
Dorado, PR 00646-0694
Phone
(787) 796-2832
Fax
(787) 796-2832
NPI assigned
Jun 29, 2012
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Samuel Agosto
Title
Director de Servicios Medicos
Phone
(787) 644-0194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X PR Primary

Addresses

Primary practice location

Calle Extension Sur #537
Dorado, PR 00646-0694

Mailing address

Calle Extension Sur #527
Dorado, PUERTO RICO 00646
UM
Phone (787) 796-2832

Other names 1

  • CLINICA RENACER Other name

National Provider Directory

National Provider Directory

Locations

537 Calle Ext S
Dorado, PR 00646
Phone (787) 796-2832

NPI Registry JSON

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1265796635",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "CALLE EXTENSION SUR #527",
            "city": "DORADO",
            "state": "PUERTO RICO",
            "postal_code": "00646",
            "telephone_number": "787-796-2832",
            "fax_number": "787-796-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE EXTENSION SUR #537",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006460694",
            "telephone_number": "787-796-2832",
            "fax_number": "787-796-2832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA JOVEN DEL CARIBE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "AGOSTO",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "DIRECTOR DE SERVICIOS MEDICOS",
        "authorized_official_telephone_number": "787-644-0194",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLINICA RENACER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dorado, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.