Centro C.I.E.H.L.O.Inc.

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

License

908 Issued in PR

Legal business name

CENTRO C.I.E.H.L.O.INC.

Practice address

A-49 Calle Marginal
Urb. Baralt
Fajardo, PUERTO RICO 00738
AL

Phone

(787) 801-2966

NPI assigned

Sep 15, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Ivelisse Pinero, MS,SLP

Title

Director

Phone

(787) 692-2422

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Tax ID family

Centro Ciehloinc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Centro Ciehlo Inc

  • Occupational Medicine Clinic/Center
  • Fajardo, PR
  • NPI 1366974396
  NPD tax ID

Practitioners 1

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

• Ivelisse Pinero Rivera, MS,SLP,CCPLSVT,BOM

  • Speech-Language Pathologist
  • Fajardo, PR
  • NPI 1205065075
  Medicare reassignment NPD

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

{
    "created_epoch": "1347667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347667200000",
    "number": "1407106586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "A49 CALLE MARGINAL",
            "address_2": "URB. BARALT",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007383759",
            "telephone_number": "787-801-2966"
        },
        {
            "country_code": "AL",
            "country_name": "Albania",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "A-49 CALLE MARGINAL",
            "address_2": "URB. BARALT",
            "city": "FAJARDO",
            "state": "PUERTO RICO",
            "postal_code": "00738",
            "telephone_number": "787-801-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO C.I.E.H.L.O.INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-15",
        "last_updated": "2012-09-15",
        "status": "A",
        "authorized_official_last_name": "PINERO",
        "authorized_official_first_name": "IVELISSE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-692-2422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MS,SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "PR",
            "license": "908",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "PR",
            "license": "3991",
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "PR",
            "license": "1097",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH AND LANGUAGE PATHOLOGY",
            "identifier": "908",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2012; 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.