NPIMap

Organization Active NPI

Policlinica San Pedro PSC

Doing business as CDT Policlinica San Pedro

  • Clinical Medical Laboratory
  • Arroyo, PR
National Provider Identifier
1285648022
Registry record updated Sep 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1059 Issued in PR
Legal business name
POLICLINICA SAN PEDRO PSC
Doing business as
CDT Policlinica San Pedro
Practice address
211 Calle Morse
Arroyo, PR 00714-2350
Phone
(787) 839-3980
Fax
(787) 271-2515
NPI assigned
Jul 28, 2006
Last updated
Sep 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2017

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

Authorized official

Name
Laura C Rivera Irizarry
Title
Administrator
Phone
(787) 839-3980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1059 PR Primary

Addresses

Primary practice location

211 Calle Morse
Arroyo, PR 00714-2350

Mailing address

PO Box 818
Arroyo, PR 00714-0818
Phone (787) 839-3980

Other names 1

  • CDT Policlinica San Pedro Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CDT Policlinica San Pedro3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505779200000",
    "number": "1285648022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 818",
            "city": "ARROYO",
            "state": "PR",
            "postal_code": "007140818",
            "telephone_number": "787-839-3980",
            "fax_number": "787-271-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 CALLE MORSE",
            "city": "ARROYO",
            "state": "PR",
            "postal_code": "007142350",
            "telephone_number": "787-839-3980",
            "fax_number": "787-271-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLICLINICA SAN PEDRO PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2017-09-19",
        "status": "A",
        "authorized_official_last_name": "RIVERA IRIZARRY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-839-3980"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CDT Policlinica San Pedro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arroyo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2017; 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.