Organization Active NPI

Opcion de Vida ' Tu Alternativa' Inc.

  • Adult Care Home Facility
  • Fajardo, PR
National Provider Identifier
1356746572
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
341545 Issued in PR
Legal business name
OPCION DE VIDA ' TU ALTERNATIVA' INC.
Practice address
437 Calle Fraternidad
Barriada Obrera
Fajardo, PR 00738-4526
Phone
(787) 364-1716
NPI assigned
Oct 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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

Authorized official

Name
Miss Maria Alejandra Rivera Rios, LPN
Title
Practice Nurse
Phone
(787) 364-1716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 341545 PR Primary

Addresses

Primary practice location

437 Calle Fraternidad
Barriada Obrera
Fajardo, PR 00738-4526

Mailing address

437 Calle Fraternidad
Bda. Obrera
Fajardo, PR 00738-4526
Phone (787) 526-0680

Other identifiers 4

IdentifierTypeStateIssuer
CLP30010237OtherPRPROGGRSSIVE, POLIZA DEL SEGURO DEL ESTADO, SEGURO CHOFERIL
341545MedicaidPR
341545OtherPRCORPORATION NUMBER
CLP 30010237OtherPRPOLICY NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1356746572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 CALLE FRATERNIDAD",
            "address_2": "BDA. OBRERA",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007384526",
            "telephone_number": "787-526-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 CALLE FRATERNIDAD",
            "address_2": "BARRIADA OBRERA",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007384526",
            "telephone_number": "787-364-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPCION DE VIDA ' TU ALTERNATIVA' INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "RIVERA RIOS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ALEJANDRA",
        "authorized_official_title_or_position": "PRACTICE NURSE",
        "authorized_official_telephone_number": "787-364-1716",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "PR",
            "license": "341545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROGGRSSIVE, POLIZA DEL SEGURO DEL ESTADO, SEGURO CHOFERIL",
            "identifier": "CLP30010237",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "341545",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATION NUMBER",
            "identifier": "341545",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "POLICY NUMBER",
            "identifier": "CLP 30010237",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 30, 2014; 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.