Clinica de Medicina Primaria del Sur.CSP

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

11906 Issued in PR

Legal business name

CLINICA DE MEDICINA PRIMARIA DEL SUR.CSP

Practice address

Carr 132, KM 24.3 No. 8
Canas
Ponce, PR 00728

Phone

(787) 284-6934

NPI assigned

Dec 11, 2012

Last updated

Dec 11, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sonia A Jose

Title

Resident Agent

Phone

(787) 284-6934

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1285979633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442,CALLE HNOS SCHMIDT",
            "address_2": "EST DEL GOLF CLUB",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 132, KM 24.3 NO. 8",
            "address_2": "CANAS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00728",
            "telephone_number": "787-284-6934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DE MEDICINA PRIMARIA DEL SUR.CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-11",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "JOSE",
        "authorized_official_first_name": "SONIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "RESIDENT AGENT",
        "authorized_official_telephone_number": "787-284-6934",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "PR",
            "license": "11906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Amparo Clavell, RN
• Valerie Clavell, DMD
• Yolanda C Clavell, MD
• Clinica Armonia LLC
• Clinica de Linfedema Deliz Bauza LLC
• Clinica de Servicios Psicologicos Serenidad LLC
• Clinica del Dr Malave
• Clinica Diaz PSC
• Clinica Familiar Coto Laurel Inc
• Clinica Interdiscplinaria de la Salud de la Pucpr

• Health Maintenance Organization in Ponce, PR
• Providers in Ponce, PR by specialty
• Health Maintenance Organization in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.