NPIMap

Organization Active NPI

Manati Health Clinic PHG

  • Clinic/Center
  • Manati, PR
National Provider Identifier
1336470590
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MANATI HEALTH CLINIC PHG
Practice address
Carr. #2 Marginal
Urb. Felix Cordova Davila
Manati, PR 00674
Phone
(939) 358-1979
Fax
(939) 358-1880
NPI assigned
Jan 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Authorized official

Name
Idalia Soto Rivera
Title
Manager
Phone
(787) 368-9787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

Carr. #2 Marginal
Urb. Felix Cordova Davila
Manati, PR 00674

Mailing address

400 Calle Calaf Ste 361
San Juan, PR 00918-1314
Phone (787) 993-3535

Other identifiers 1

IdentifierTypeStateIssuer
660638103OtherPROPTION HEALTH GROUP, INC.

National Provider Directory

National Provider Directory
Tax ID family
Hato Rey Health Clinic PHG4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1336470590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CALLE CALAF STE 361",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181314",
            "telephone_number": "787-993-3535",
            "fax_number": "787-522-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. #2 MARGINAL",
            "address_2": "URB. FELIX CORDOVA DAVILA",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "939-358-1979",
            "fax_number": "939-358-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANATI HEALTH CLINIC PHG",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "SOTO RIVERA",
        "authorized_official_first_name": "IDALIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "787-368-9787"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTION HEALTH GROUP, INC.",
            "identifier": "660638103",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.