Organization Active NPI

Clinica Medica Pediatrica, LLC

  • Primary Care Clinic/Center
  • Humacao, PR
National Provider Identifier
1285440701
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CLINICA MEDICA PEDIATRICA, LLC
Practice address
10-E Ave. Font Martelo
Humacao, PR 00971
Phone
(787) 852-1514
NPI assigned
Dec 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Authorized official

Name
Dr. Minela Colon Santos, MD
Title
Onwe Sole MBR
Phone
(787) 852-1514

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

10-E Ave. Font Martelo
Humacao, PR 00971

Mailing address

10-E Ave. Font Martelo
Humacao, PR 00971
Phone (787) 852-1514

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1285440701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10-E AVE. FONT MARTELO",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00971",
            "telephone_number": "787-852-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10-E AVE. FONT MARTELO",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00971",
            "telephone_number": "787-852-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA MEDICA PEDIATRICA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-09",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "COLON SANTOS",
        "authorized_official_first_name": "MINELA",
        "authorized_official_title_or_position": "ONWE SOLE MBR",
        "authorized_official_telephone_number": "787-852-1514",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.