Centro Medico San Jose CSP

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

10574 Issued in PR

Legal business name

CENTRO MEDICO SAN JOSE CSP

Practice address

Calle Marginal
Urb Santa Cruz
Bayamon, PR 00957-2536

Phone

(787) 785-5592

Fax

(787) 785-5593

NPI assigned

Dec 6, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Jose S Iguina, MD

Title

President

Phone

(787) 785-5592

Specialties & licenses 1

Addresses

Other names 1

• Clinica San Jose Former legal business name

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356325930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C/A IHAMBRD 4 #8 URB TORRIMAR",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-785-5592",
            "fax_number": "787-785-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE MARGINAL",
            "address_2": "URB SANTA CRUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009572536",
            "telephone_number": "787-785-5592",
            "fax_number": "787-785-5593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO MEDICO SAN JOSE CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IGUINA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-785-5592",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "10574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica San Jose",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Centro Medico Puerto Rico
• Centro Neymar
• Centro Oncologico Integral de Puerto Rico Inc
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• Centro Optometrico Especializado de PR LLC
• Centro Pediatrico Buena Vista, Inc.

• Pediatrics Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Pediatrics Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.