NPIMap

Organization Active NPI

Centro Ararat Inc

  • Family Medicine Physician
  • San Juan, PR
National Provider Identifier
1336799725
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CENTRO ARARAT INC
Practice address
1503 Calle Prof Augusto Rodriguez Ste 301
San Juan, PR 00909-2229
Phone
(787) 705-3809
Fax
(787) 982-6464
NPI assigned
Sep 17, 2019
Organization subpart
Yes
Parent organization
CENTRO ARARAT INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Authorized official

Name
Ivan Melendez-Rivera, MD
Title
Medical Director
Phone
(787) 284-5884

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Case Management Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC0400X
Infection Control Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WI0600X
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Phlebology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 202K00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

1503 Calle Prof Augusto Rodriguez Ste 301
San Juan, PR 00909-2229

Mailing address

PO Box 7793
Ponce, PR 00732-7793
Phone (787) 284-5884

Other names 1

  • Clinica de Salud Sexual Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Centro Ararat Inc7 organizations share this tax ID, including this one
Part of
Centro Ararat Inc

Other organizations with this tax ID 6

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

Locations

1503 Calle Prof Augusto Rodriguez
Ste 301
San Juan, PR 00909
Phone (787) 705-3809

NPI Registry JSON

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568678400000",
    "number": "1336799725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7793",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327793",
            "telephone_number": "787-284-5884",
            "fax_number": "787-651-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 CALLE PROF AUGUSTO RODRIGUEZ STE 301",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092229",
            "telephone_number": "787-705-3809",
            "fax_number": "787-982-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO ARARAT INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRO ARARAT INC",
        "enumeration_date": "2019-09-17",
        "last_updated": "2019-09-17",
        "status": "A",
        "authorized_official_last_name": "MELENDEZ-RIVERA",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "787-284-5884",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WI0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Infection Control",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Phlebology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica de Salud Sexual",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.