Organization Active NPI

Toa Alta Medical Group Ipa 348

  • Case Manager/Care Coordinator
  • Toa Alta, PR
National Provider Identifier
1396959896
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
TOA ALTA MEDICAL GROUP IPA 348
Practice address
30 Calle 1
Jardines del Toa
Toa Alta, PR 00953-1832
Phone
(787) 870-4559
NPI assigned
May 10, 2007
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
Gladys Nieves, BBA
Title
Manager
Phone
(787) 796-6568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

30 Calle 1
Jardines del Toa
Toa Alta, PR 00953-1832

Mailing address

PO Box 543
Dorado, PR 00646-0543

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, 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": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396959896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 543",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006460543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CALLE 1",
            "address_2": "JARDINES DEL TOA",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009531832",
            "telephone_number": "787-870-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOA ALTA MEDICAL GROUP IPA 348",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NIEVES",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "787-796-6568",
        "authorized_official_credential": "BBA"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Alta, 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.