Organization Active NPI

Policlinica Medica la Sagrada Familia

  • Clinic/Center
  • Yauco, PR
National Provider Identifier
1396263083
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
0000259247 Issued in PR
Legal business name
POLICLINICA MEDICA LA SAGRADA FAMILIA
Practice address
71 Calle Comercio
Yauco, PR 00698-3541
Phone
(787) 717-3553
NPI assigned
Sep 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Jose Castellon, MD
Title
President
Phone
(939) 928-9002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 0000259247 PR Primary

Addresses

Primary practice location

71 Calle Comercio
Yauco, PR 00698-3541

Mailing address

PO Box 5004
PMB 301
Yauco, PR 00698
Phone (787) 717-3553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171026001564 PR Part B Supplier - Clinic/Group Practice 8325314917 Receives reassigned benefits from 1 practitioner
Practice locations: Yauco, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1504310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1396263083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5004",
            "address_2": "PMB 301",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "00698",
            "telephone_number": "787-717-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 CALLE COMERCIO",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006983541",
            "telephone_number": "787-717-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLICLINICA MEDICA LA SAGRADA FAMILIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CASTELLON",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "939-928-9002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": "0000259247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yauco, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.