NPIMap

Organization Active NPI

Centro de Diagnostico Y Tratamiento MPL Corozal

  • Emergency Medicine Physician
  • Corozal, PR
National Provider Identifier
1326343385
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
CENTRO DE DIAGNOSTICO Y TRATAMIENTO MPL COROZAL
Practice address
Calle Marina Numero 13
Corozal, PR 00783
Phone
(787) 707-1983
Fax
(787) 706-8823
NPI assigned
Jan 21, 2011
Last updated
Jan 21, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
MEDICAL PHARMACY & LABORATORY ADMINISTRATIVE SERVICES CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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

Authorized official

Name
Dr. Victor R Diaz
Title
Director Ejecutivo
Phone
(787) 707-1983

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Primary
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X
Obstetrics & Gynecology Physician 207V00000X
Ophthalmology Physician 207W00000X
Pediatrics Physician 208000000X
General Practice Physician 208D00000X

Addresses

Primary practice location

Calle Marina Numero 13
Corozal, PR 00783

Mailing address

PO Box 51991
Toa Baja, PR 00950-1991
Phone (787) 707-1983

National Provider Directory

National Provider Directory
Tax ID family
Medical Pharmaand Lab16 organizations share this tax ID, including this one
Part of
Medical Pharmaand Lab

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295568000000",
    "number": "1326343385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51991",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009501991",
            "telephone_number": "787-707-1983",
            "fax_number": "787-706-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE MARINA NUMERO 13",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "00783",
            "telephone_number": "787-707-1983",
            "fax_number": "787-706-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE DIAGNOSTICO Y TRATAMIENTO MPL COROZAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL PHARMACY & LABORATORY ADMINISTRATIVE SERVICES CORP",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-01-21",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR EJECUTIVO",
        "authorized_official_telephone_number": "787-707-1983",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corozal, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; 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.