Active NPI
Latin Clinical Trial Center
- Multi-Specialty Clinic/Center
- San Juan, PR
National Provider Identifier
1366297582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- LATIN CLINICAL TRIAL CENTER
- Practice address
- 1801 Ave Ponce de Leon Ste 205205a
San Juan, PR 00909-1900 - Phone
- (787) 209-4914
- NPI assigned
- Apr 22, 2024
- Last updated
- Apr 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Anmari Ferrer, MBA
- Title
- General Operations Manager
- Phone
- (939) 599-3317
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary | ||
| Primary Care Clinic/Center | 261QP2300X |
Addresses
Primary practice location
1801 Ave Ponce de Leon Ste 205205a
San Juan, PR 00909-1900
Mailing address
PMB 487
PO Box 70344
San Juan, PR 00936
National Provider Directory
National Provider DirectoryLocations
1801 Ave Ponce de Leon
Ste 205205A
San Juan, PR 00909
Phone (787) 209-4914
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.
-
- Family Medicine Physician
- San Juan, PR
- NPI 1083746135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713744000000",
"number": "1366297582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PMB 487",
"address_2": "PO BOX 70344",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 AVE PONCE DE LEON STE 205205A",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009091900",
"telephone_number": "787-209-4914"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LATIN CLINICAL TRIAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-22",
"last_updated": "2024-04-22",
"certification_date": "2024-04-21",
"status": "A",
"authorized_official_last_name": "FERRER",
"authorized_official_first_name": "ANMARI",
"authorized_official_title_or_position": "GENERAL OPERATIONS MANAGER",
"authorized_official_telephone_number": "939-599-3317",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.