Cdma Medical Corporation, PSC

Primary specialty

NaturopathTaxonomy code 175F00000X

Legal business name

CDMA MEDICAL CORPORATION, PSC

Practice address

Ave Jesus T Pinero # 282
Plaza El Amal Suite 204
San Juan, PR 00918-4003

Phone

(787) 751-7799

Fax

(787) 296-8447

NPI assigned

Sep 6, 2011

Last updated

Sep 6, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

CDMA MEDICAL CORPORATION, PSCAs reported in NPPES

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

Authorized official

Name

Ernesto B Herger

Title

Director

Phone

(787) 751-7799

Specialties & licenses 1

Addresses

Part of

Cdma Medical Corporation PSC

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1427339316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE JESUS T PINERO 282",
            "address_2": "PLAZA EL AMAL SUITE 204",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00927",
            "telephone_number": "787-751-7799",
            "fax_number": "787-296-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE JESUS T PINERO # 282",
            "address_2": "PLAZA EL AMAL SUITE 204",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009184003",
            "telephone_number": "787-751-7799",
            "fax_number": "787-296-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDMA MEDICAL CORPORATION, PSC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CDMA MEDICAL CORPORATION, PSC",
        "enumeration_date": "2011-09-06",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "HERGER",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-751-7799"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; 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.