NPIMap

Organization Active NPI

Centropolimenonita de Coamo

  • Specialist
  • Coamo, PR
National Provider Identifier
1376569434
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CENTROPOLIMENONITA DE COAMO
Practice address
13 Calle Mario Braschi
Coamo, PR 00769-2501
Phone
(787) 825-5835
Fax
(787) 803-1999
NPI assigned
Jul 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Luis Roberto Canas, M.D.NPI 1790780914
Title
President
Phone
(787) 825-5835

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

13 Calle Mario Braschi
Coamo, PR 00769-2501

Mailing address

13 Calle Mario Braschi
Coamo, PR 00769-2501
Phone (787) 825-5835

National Provider Directory

National Provider Directory
Tax ID family
Centro Polimenonita de Coamo2 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.

Locations

13 Calle Mario Braschi
Coamo, PR 00769
Phone (787) 825-5835

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376569434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 CALLE MARIO BRASCHI",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007692501",
            "telephone_number": "787-825-5835",
            "fax_number": "787-803-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 CALLE MARIO BRASCHI",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007692501",
            "telephone_number": "787-825-5835",
            "fax_number": "787-803-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTROPOLIMENONITA DE COAMO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CANAS",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "ROBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-825-5835",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coamo, PR

Sources for this page

  • 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.