Organization Active NPI

Cervac

  • Specialist
  • Guaynabo, PR
National Provider Identifier
1336414036
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4820 Issued in PR
Legal business name
CERVAC
Practice address
43 Ave Esmeralda
Local B - Interior
Guaynabo, PR 00969-4430
Phone
(787) 790-7525
Fax
(787) 790-7525
NPI assigned
Mar 13, 2012
Last updated
Mar 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Authorized official

Name
Dr. Yocasta Brugal, M.D.NPI 1437361383
Title
Forensic and Anatomical Pathologist
Phone
(787) 790-7525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4820 PR Primary

Addresses

Primary practice location

43 Ave Esmeralda
Local B - Interior
Guaynabo, PR 00969-4430

Mailing address

138 Ave Winston Churchill
MSC 932
San Juan, PR 00926-6013
Phone (787) 790-7525

National Provider Directory

National Provider Directory

Locations

43 Ave Esmeralda
#B
Guaynabo, PR 00969
Phone (787) 790-7525

138 Ave Winston Churchill
#932
San Juan, PR 00926

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1336414036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 AVE WINSTON CHURCHILL",
            "address_2": "MSC 932",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266013",
            "telephone_number": "787-790-7525",
            "fax_number": "787-790-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 AVE ESMERALDA",
            "address_2": "LOCAL B - INTERIOR",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694430",
            "telephone_number": "787-790-7525",
            "fax_number": "787-790-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERVAC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "BRUGAL",
        "authorized_official_first_name": "YOCASTA",
        "authorized_official_title_or_position": "FORENSIC AND ANATOMICAL PATHOLOGIST",
        "authorized_official_telephone_number": "787-790-7525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "4820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.