Organization Active NPI

Primary & Internal Medicine

  • Corporate Health Clinic/Center
  • Santa Isabel, PR
National Provider Identifier
1275693582
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corporate Health Clinic/CenterTaxonomy code 261QC1800X
Legal business name
PRIMARY & INTERNAL MEDICINE
Practice address
30 Calle Betances
Santa Isabel, PR 00757-2619
Phone
(787) 845-3649
Fax
(787) 845-4511
NPI assigned
Dec 11, 2006
Last updated
Jan 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Authorized official

Name
Dr. David Rafael Questell Alvarado, MDNPI 1346233616
Title
President
Phone
(787) 845-3946

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
Corporate Health Clinic/Center 261QC1800X Primary

Addresses

Primary practice location

30 Calle Betances
Santa Isabel, PR 00757-2619

Mailing address

PO Box 1600
Santa Isabel, PR 00757-1600
Phone (787) 845-3946

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110211000473 PR Part B Supplier - Clinic/Group Practice 0547440265 Receives reassigned benefits from 3 practitioners
Practice locations: Santa Isabel, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1275693582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1600",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "007571600",
            "telephone_number": "787-845-3946",
            "fax_number": "787-845-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CALLE BETANCES",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "007572619",
            "telephone_number": "787-845-3649",
            "fax_number": "787-845-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY & INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2011-01-19",
        "status": "A",
        "authorized_official_last_name": "QUESTELL ALVARADO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RAFAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-845-3946",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Isabel, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.