NPIMap

Organization Active NPI

Atenas Community Health Center Achc Inc

  • Clinical Medical Laboratory
  • Manati, PR
National Provider Identifier
1427361732
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
40D0711813 Issued in PR
Legal business name
ATENAS COMMUNITY HEALTH CENTER ACHC INC
Practice address
Carr Num 2 KM50
Manati, PR 00674
Phone
(787) 854-2292
Fax
(787) 854-2092
NPI assigned
Jul 16, 2010
Last updated
Nov 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Authorized official

Name
Miss Zeimy Gomez
Title
Directora Ejecutiva
Phone
(787) 854-2292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 40D0711813 PR Primary

Addresses

Primary practice location

Carr Num 2 KM50
Manati, PR 00674

Mailing address

PO Box 455
Manati, PR 00674-0455
Phone (787) 854-2292

Other names 1

  • CENTRO DE DIAGNOSTICO Y TRATAMIENTO DE MANATI Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131204000971 PR Part B Supplier - Independent Clinical Laboratory 7911132576 Practice locations: Manati, PR

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Atenas Community Health Center Achc Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1427361732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 455",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006740455",
            "telephone_number": "787-854-2292",
            "fax_number": "787-854-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR NUM 2 KM50",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-854-2292",
            "fax_number": "787-854-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATENAS COMMUNITY HEALTH CENTER ACHC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-16",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "ZEIMY",
        "authorized_official_title_or_position": "DIRECTORA EJECUTIVA",
        "authorized_official_telephone_number": "787-854-2292",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "40D0711813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRO DE DIAGNOSTICO Y TRATAMIENTO DE MANATI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Manati, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.