Medicfast Cita Inc

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

2112445 Issued in PR

Legal business name

MEDICFAST CITA INC

Practice address

558B Bo Singapur
Pastillo
Juana Diaz, PR 00795

Phone

(939) 338-9551

NPI assigned

May 22, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Wilfredo Reyes

Title

Director

Phone

(787) 642-0062

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432252800000",
    "number": "1326427311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MIRAFLORES MALL",
            "address_2": "CALLE 6 20-3",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009576707",
            "telephone_number": "939-338-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558B BO SINGAPUR",
            "address_2": "PASTILLO",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "00795",
            "telephone_number": "939-338-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICFAST CITA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-22",
        "last_updated": "2015-05-22",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "WILFREDO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-642-0062",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "PR",
            "license": "2112445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yamila Siyam Martinez, RPH
• Melvin Alvarado Matos Sr.
• Glenda Mayol-Alicea, PSYD
• Med Centro Inc.
• Medic Life Support LLC
• Olwens Medina Gonzalez
• Norma Ivette Medina, PHARM D.
• Francis Niret Melendez de Jesus, LND
• Joshua Oneil Melendez Sr.
• Karilma Melendez, PHD

• Non-emergency Medical Transport (VAN) in Juana Diaz, PR
• Providers in Juana Diaz, PR by specialty
• Non-emergency Medical Transport (VAN) in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; 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.