Organization Active NPI

Policlinica Baldorioty

  • Multi-Specialty Clinic/Center
  • San Juan, PR
National Provider Identifier
1295875169
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
86269 Issued in PR
Legal business name
POLICLINICA BALDORIOTY
Practice address
482 Calle Fernando Calder
Urb Roosvelt
San Juan, PR 00918-2744
Phone
(787) 568-8263
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Rafael Marchena
Title
Administrator
Phone
(787) 568-8263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 86269 PR Primary

Addresses

Primary practice location

482 Calle Fernando Calder
Urb Roosvelt
San Juan, PR 00918-2744

Mailing address

Cond Castillo del Mar
Suite 1358
Carolina, PR 00979-5300

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295875169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND CASTILLO DEL MAR",
            "address_2": "SUITE 1358",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009795300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 CALLE FERNANDO CALDER",
            "address_2": "URB ROOSVELT",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182744",
            "telephone_number": "787-568-8263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLICLINICA BALDORIOTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARCHENA",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-568-8263"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "PR",
            "license": "86269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.