NPIMap

Organization Active NPI

Bella Vista Hospital

Doing business as Centro Preventivo Medicina de Familia

  • Family Medicine Physician
  • Mayaguez, PR
National Provider Identifier
1376992040
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BELLA VISTA HOSPITAL
Doing business as
Centro Preventivo Medicina de Familia
Practice address
Ave Hostos 770
Mayaguez, PR 00680
Phone
(787) 834-6160
NPI assigned
Jun 3, 2016
Last updated
Oct 2, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
BELLA VISTA HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Authorized official

Name
Mr. Luis Rivera
Title
Director
Phone
(787) 834-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

Ave Hostos 770
Mayaguez, PR 00680

Mailing address

PO Box 424
Mayaguez, PR 00681-0424
Phone (787) 834-6000

Other names 1

  • Centro Preventivo Medicina de Familia Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Grupo Medicina General12 organizations share this tax ID, including this one
Part of
Grupo Medicina General

Other organizations with this tax ID 11

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

Locations

770 Ave Hostos
Mayaguez, PR 00682
Phone (787) 832-8548

NPI Registry JSON

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1376992040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 424",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006810424",
            "telephone_number": "787-834-6000",
            "fax_number": "787-805-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE HOSTOS 770",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-834-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA VISTA HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BELLA VISTA HOSPITAL",
        "enumeration_date": "2016-06-03",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-834-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centro Preventivo Medicina de Familia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.

Verify at the official NPI Registry.