Corporacion Fondo del Seguro del Estado

Primary specialty

Corporate Health Clinic/CenterTaxonomy code 261QC1800X

License

2293 Issued in PR

Legal business name

CORPORACION FONDO DEL SEGURO DEL ESTADO

Practice address

Carr. #2 KM. 48.3 Interior
Urb Atenas (Detras del Correo Federal)
Manati, PR 00674

Phone

(787) 854-2495

NPI assigned

Oct 1, 2013

Last updated

Oct 1, 2013By 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

Mrs. Nirma Y Sanchez Olivo, 2293

Title

Pharmacy Technithian

Phone

(787) 854-2495

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380585600000",
    "number": "1407283716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 799",
            "city": "CIALES",
            "state": "PR",
            "postal_code": "006380799",
            "telephone_number": "787-854-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. #2 KM. 48.3 INTERIOR",
            "address_2": "URB ATENAS (DETRAS DEL CORREO FEDERAL)",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-854-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPORACION FONDO DEL SEGURO DEL ESTADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-01",
        "last_updated": "2013-10-01",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ OLIVO",
        "authorized_official_first_name": "NIRMA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PHARMACY TECHNITHIAN",
        "authorized_official_telephone_number": "787-854-2495",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "2293"
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": "PR",
            "license": "2293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY TEC LIC",
            "identifier": "2293",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grisel Rodriguez Conde, MSW
• Consultorio Medico Clinico Dr Gomez Adrover PSC
• Saul Cordero-Calero, M.D.
• Jose Cordero, M.D.
• Heidee Michalle Cordova, MD
• Corporacion Las Vegas Inc (Clinica Terapia Fisica Y Rehabilitacion del Norte)
• Corporacion Las Vegas, LLC
• Corporacion Profesional de Servicios de Salud (Grupo Medico de Manati)
• Carlos Alberto Correa Roman, MD
• Javier E Correa Roman

• Corporate Health Clinic/Center in Manati, PR
• Providers in Manati, PR by specialty
• Corporate Health Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; 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.