Puerto Rico Community for Clinical Services, Research and Health

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PUERTO RICO COMMUNITY FOR CLINICAL SERVICES, RESEARCH AND HEALTH

Doing business as

PR CoNCRA
Prconcra

Practice address

Urb. Garcia Ubarri
1162 Brumbaugh
Rio Piedras, PR 00925

Phone

(787) 773-0464

Fax

(787) 294-1569

NPI assigned

Jul 6, 2006

Last updated

Dec 26, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carlos A Cabrera Bonet

Title

Executive Director

Phone

(787) 773-0464

Specialties & licenses 10

Addresses

Other names 2

• PR CoNCRA Doing business as
• PRCONCRA Doing business as

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Laboratorio Clinico Brumbaugh Inc

  • Clinical Medical Laboratory
  • San Juan, PR
  • NPI 1760448849

  Member Of

  NPD member

Locations

Practitioners 4

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.

• Marta Martinez Caballero, MS, MSCP. PSYD

  • Clinical Psychologist
  • San Juan, PR
  • NPI 1710709449
  NPD
• Omar Enrique Alicea-Velez, PH.D.

  • Clinical Psychologist
  • Gurabo, PR
  • NPI 1699215376
  NPD (past)
• Ivonne Fragoso-Vazquez

  • Psychiatry Physician
  • Carolina, PR
  • NPI 1730593450
  NPD (past)
• Yatzmeli Matias

  • Clinical Psychologist
  • San Juan, PR
  • NPI 1669032785
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703548800000",
    "number": "1396776472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20850",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009280850",
            "telephone_number": "787-773-0464",
            "fax_number": "787-773-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. GARCIA UBARRI",
            "address_2": "1162 BRUMBAUGH",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00925",
            "telephone_number": "787-773-0464",
            "fax_number": "787-294-1569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Calle Georgetti",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009253625",
            "country_code": "US",
            "telephone_number": "787-773-0464",
            "fax_number": "787-294-1569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Urb. Garcia Ubarri",
            "address_2": "1164 Brumbaugh",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "00925",
            "country_code": "US",
            "telephone_number": "787-773-0464",
            "fax_number": "787-294-1569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Calle Georgetti",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009253607",
            "country_code": "US",
            "telephone_number": "787-773-0464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PUERTO RICO COMMUNITY FOR CLINICAL SERVICES, RESEARCH AND HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "CABRERA BONET",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-773-0464"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PR",
            "license": "2325",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "12973",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PR",
            "license": "8204",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "14317",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PR CoNCRA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PRCONCRA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Platinum Emergency Kid
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• PMC Marketing Corp (Farmacia El Amal # 23)
• Norma Iris Prats Lozada, LND
• Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas, Inc (Clinica de Salud Conductual San Lucas)
• Puerto Rico Community Network for Clinical Research on AIDS, Inc. (PR CoNCRA)
• Quantum Interventional Radiology, PSC
• Mario Yamil Quintero Burgos, PHARM D
• Elisa M. Quintero-Mendez, M.D.
• Eileen Jay Ramirez-Vilches, M.D.

• Multi-Specialty Clinic/Center in Rio Piedras, PR
• Providers in Rio Piedras, PR by specialty
• Multi-Specialty Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.