Centro de Endocrinologia Pedriatica Y Diabete del Oeste

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

CENTRO DE ENDOCRINOLOGIA PEDRIATICA Y DIABETE DEL OESTE

Practice address

Carr 110
Bo Coralez
Aguadilla, PR 00603-0060

Phone

(787) 882-6879

NPI assigned

Aug 2, 2021

Last updated

Aug 2, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

CENTRO DE ENDOCRINOLOGIA PEDIATRICA Y DIABEETE DEL OESTE L.L.C.As reported in NPPES

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

Authorized official

Name

Dr. Michelle Gomez Cruz, MDNPI 1952572067

Title

Presidente

Phone

(787) 607-9637

Specialties & licenses 1

Addresses

Other names 1

• L.L.C Other name

Electronic endpoints 1

Part of

Centro de Endocrinologia Pedriatica Y Diabete del Oeste

Practitioners 1

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.

• Michelle J Gomez Cruz, M.D.

  • Pediatric Endocrinology Physician
  • San Juan, PR
  • NPI 1952572067
  NPD Authorized official

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627862400000",
    "number": "1295409464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 9 BOX 10521",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006039306",
            "telephone_number": "787-882-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 110",
            "address_2": "BO CORALEZ",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006030060",
            "telephone_number": "787-882-6879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE ENDOCRINOLOGIA PEDRIATICA Y DIABETE DEL OESTE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRO DE ENDOCRINOLOGIA PEDIATRICA Y DIABEETE DEL OESTE L.L.C.",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-02",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "GOMEZ CRUZ",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-607-9637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "AGUADILLA",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "CARR 110",
            "address_2": "BO CORALEZ",
            "city": "AGUADILLA",
            "state": "PR",
            "country_code": "US",
            "postal_code": "006030060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "L.L.C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Health Service Clinic/Center in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• Health Service Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.