Organization Active NPI

Centro de Diagnostico Pulmonar

  • Specialist
  • Bayamon, PR
National Provider Identifier
1396848933
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
3000 Issued in PR
Legal business name
CENTRO DE DIAGNOSTICO PULMONAR
Practice address
68 Calle Santa Cruz Ste 602
68 Sta Cruz St
Bayamon, PR 00961-7035
Phone
(787) 798-9701
Fax
(787) 785-9580
NPI assigned
Sep 7, 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. Crispulo M Rivera, MD
Title
President
Phone
(787) 798-9701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 3000 PR Primary

Addresses

Primary practice location

68 Calle Santa Cruz Ste 602
68 Sta Cruz St
Bayamon, PR 00961-7035

Mailing address

PO Box 40
Bayamon, PR 00960-0040
Phone (787) 798-9701

Other identifiers 2

IdentifierTypeStateIssuer
900172OtherPRCRUZ AZUL
28374OtherPRTRIPLE S

Other names 1

  • laboratorio pulmonar Other name

National Provider Directory

National Provider Directory

Locations

68 Calle Santa Cruz
Ste 602
Bayamon, PR 00961
Phone (787) 786-0717

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396848933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009600040",
            "telephone_number": "787-798-9701",
            "fax_number": "787-785-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 CALLE SANTA CRUZ STE 602",
            "address_2": "68 STA CRUZ ST",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617035",
            "telephone_number": "787-798-9701",
            "fax_number": "787-785-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE DIAGNOSTICO PULMONAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "CRISPULO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-798-9701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "3000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "900172",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "28374",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "laboratorio pulmonar",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 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.