NPIMap

Organization Active NPI

Asociacion de Puertorriquenos En Marcha, Inc.

  • Community Health Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1366698607
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
ASOCIACION DE PUERTORRIQUENOS EN MARCHA, INC.
Practice address
2131-33 N. 6TH St
Philadelphia, PA 19122-1415
Phone
(215) 236-1500
NPI assigned
Aug 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Authorized official

Name
Mrs. Nilda Ruiz
Title
President
Phone
(267) 296-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

2131-33 N. 6TH St
Philadelphia, PA 19122-1415

Mailing address

4301 Rising Sun Ave
Philadelphia, PA 19140-2719
Phone (267) 296-7200

Other identifiers 1

IdentifierTypeStateIssuer
1003114240012MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Asociacion de Puertorri7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1366698607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 RISING SUN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191402719",
            "telephone_number": "267-296-7200",
            "fax_number": "215-455-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131-33 N. 6TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191221415",
            "telephone_number": "215-236-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASOCIACION DE PUERTORRIQUENOS EN MARCHA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "NILDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-296-7200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003114240012",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.