NPIMap

Organization Active NPI

Cmda de Puertorico, Inc.

  • Clinic/Center
  • Bayamon, PR
National Provider Identifier
1396712931
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CMDA DE PUERTORICO, INC.
Practice address
51 Calle Dr Veve
Bayamon, PR 00961-6362
Phone
(787) 780-1445
NPI assigned
Mar 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Authorized official

Name
Dietrich K. Gentsch
Title
Executive Director
Phone
(787) 780-2425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

51 Calle Dr Veve
Bayamon, PR 00961-6362

Mailing address

PO Box 6181
Bayamon, PR 00960-5181
Phone (787) 780-1445

National Provider Directory

National Provider Directory

Locations

51 Calle Dr Veve
Bayamon, PR 00961
Phone (787) 780-1445

Practitioners & affiliated clinicians

Practitioners 7

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": "1141257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1396712931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6181",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009605181",
            "telephone_number": "787-780-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 CALLE DR VEVE",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616362",
            "telephone_number": "787-780-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMDA DE PUERTORICO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-02",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "GENTSCH",
        "authorized_official_first_name": "DIETRICH",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-780-2425"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.