Clinica Medicina Preventiva CSP

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

14079 Issued in PR

Legal business name

CLINICA MEDICINA PREVENTIVA CSP

Practice address

Urb Palacios del Rio II
763 Calle Cibuco
Toa Alta, PR 00953-5116

Phone

(787) 390-0578

NPI assigned

Jun 22, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jose G Cumba Guerrero, M.D.NPI 1811041825

Title

Director

Phone

(787) 390-0578

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Jose Cumba Guerrero

  • General Practice Physician
  • Toa Alta, PR
  • NPI 1811041825
  NPD (past) Authorized official

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340323200000",
    "number": "1295098374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVENIDA WEST MAIN CALLE 49 BLOQUE 51 #31",
            "address_2": "URB SIERRA BAYAMON",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009614790",
            "telephone_number": "787-390-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB PALACIOS DEL RIO II",
            "address_2": "763 CALLE CIBUCO",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009535116",
            "telephone_number": "787-390-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA MEDICINA PREVENTIVA CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A",
        "authorized_official_last_name": "CUMBA GUERRERO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-390-0578",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "14079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC",
            "identifier": "14079",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dalia Chirino, RPH
• Luis Elfren Cintron Ortiz III, M.D
• Luis Joel Cintron, D.M.D.
• Jeissy Esther Ciprian F. Sr., MD
• Citas Medicas a Tiempo
• Waleska Collazo, THL
• Raisa Colon Rosario
• Ashley Colon-Rios
• Yarelis Marie Colon, M.PSY
• Zahira M Colon, MS

• General Practice Physician in Toa Alta, PR
• Providers in Toa Alta, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.