NPIMap

Organization Active NPI

Corporacion Fondo Seguro Estado Fajardo

  • State or Local Public Health Clinic/Center
  • Fajardo, PR
National Provider Identifier
1326586546
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
License
9607 Issued in PR
Legal business name
CORPORACION FONDO SEGURO ESTADO FAJARDO
Practice address
460 Ave Marcelito Gotay
Sector El Batey
Fajardo, PR 00738
Phone
(787) 793-5959
Fax
(787) 801-2900
NPI assigned
Feb 8, 2017
Last updated
Feb 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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

Authorized official

Name
Irma Santos, MD
Title
Medical Director
Phone
(787) 793-5959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X 9607 PR Primary

Addresses

Primary practice location

460 Ave Marcelito Gotay
Sector El Batey
Fajardo, PR 00738

Mailing address

460 Ave Marcelito Gotay
Fajardo, PR 00738-1207
Phone (787) 793-5959

Other names 1

  • CFSE FAJARDO Other name

National Provider Directory

National Provider Directory
Tax ID family
Corporacion Fondo Seguro Estado Fajardo14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1326586546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 AVE MARCELITO GOTAY",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007381207",
            "telephone_number": "787-793-5959",
            "fax_number": "787-801-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 AVE MARCELITO GOTAY",
            "address_2": "SECTOR EL BATEY",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-793-5959",
            "fax_number": "787-801-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPORACION FONDO SEGURO ESTADO FAJARDO",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "IRMA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "787-793-5959",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "PR",
            "license": "9607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CFSE FAJARDO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fajardo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.