Centro Ciehlo Inc

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

License

589 Issued in PR

Legal business name

CENTRO CIEHLO INC

Practice address

A49 Calle Marginal
Urb. Baralt
Fajardo, PR 00738-3759

Phone

(787) 801-2966

NPI assigned

Mar 29, 2017

Organization subpart

No

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

Authorized official

Name

Prof. Sonia Aixa Gonzalez, OTL

Title

Ocuppational Therapist

Phone

(787) 801-2966

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Centro CIEHLO Inc Former legal business name

Tax ID family

Centro Ciehloinc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Centro C.I.E.H.L.O.Inc.

  • Hearing and Speech Clinic/Center
  • NPI 1407106586
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Sonia a. Gonzalez Echevarria

  • Occupational Medicine Clinic/Center
  • Fajardo, PR
  • NPI 1356873517
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ivelisse Pinero Rivera, MS,SLP,CCPLSVT,BOM

  • Speech-Language Pathologist
  • Fajardo, PR
  • NPI 1205065075
  NPD

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1366974396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "A49 CALLE MARGINAL",
            "address_2": "URBANIZACION BARALT",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-801-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A49 CALLE MARGINAL",
            "address_2": "URB. BARALT",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007383759",
            "telephone_number": "787-801-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO CIEHLO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-29",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "SONIA",
        "authorized_official_middle_name": "AIXA",
        "authorized_official_title_or_position": "OCUPPATIONAL THERAPIST",
        "authorized_official_telephone_number": "787-801-2966",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "OTL"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "PR",
            "license": "589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL INSURANCE",
            "identifier": "589",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centro CIEHLO Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Occupational Medicine Clinic/Center in Fajardo, PR
• Providers in Fajardo, PR by specialty
• Occupational Medicine Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.