Organization Active NPI

Centro Ortopedico Integrado CSP

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Ponce, PR
National Provider Identifier
1407217789
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
CENTRO ORTOPEDICO INTEGRADO CSP
Practice address
2360 Ave Eduardo Ruberte
Ponce, PR 00717-0304
Phone
(787) 844-8000
NPI assigned
Mar 14, 2016
Last updated
Jul 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Authorized official

Name
Gilberto J Alvarado Diaz, MDNPI 1326197401
Title
Presidente
Phone
(787) 844-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X NU Primary

Addresses

Primary practice location

2360 Ave Eduardo Ruberte
Ponce, PR 00717-0304

Mailing address

PO Box 8726
Ponce, PR 00732-8726
Phone (787) 844-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160902000219 PR Part B Supplier - Clinic/Group Practice 2668768433 Receives reassigned benefits from 1 practitioner
Practice locations: Ponce, PR

National Provider Directory

National Provider Directory
Tax ID family
Centro Ortopedico Especializado2 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.

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": "1457913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1407217789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8726",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007328726",
            "telephone_number": "787-844-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 AVE EDUARDO RUBERTE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170304",
            "telephone_number": "787-844-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO ORTOPEDICO INTEGRADO CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-14",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "ALVARADO DIAZ",
        "authorized_official_first_name": "GILBERTO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-844-8000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.