NPIMap

Organization Active NPI

Policlinica la Familia de Toa Alta Inc

  • Primary Care Clinic/Center
  • Toa Alta, PR
National Provider Identifier
1437457967
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
9462 Issued in PR
Legal business name
POLICLINICA LA FAMILIA DE TOA ALTA INC
Practice address
Calle 10 G21 Villa Matilde
Toa Alta, PR 00953
Phone
(787) 870-7070
Fax
(787) 870-6382
NPI assigned
Mar 8, 2011
Last updated
Mar 8, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
INCORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Authorized official

Name
Dr. Itza D. Chevres, M.D.
Title
President
Phone
(787) 870-7070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 9462 PR Primary

Addresses

Primary practice location

Calle 10 G21 Villa Matilde
Toa Alta, PR 00953

Mailing address

PO Box 867
Toa Alta, PR 00954
Phone (787) 870-7070

Other names 1

  • Centro de Vacunacion Other name

National Provider Directory

National Provider Directory
Tax ID family
Policlinica la Familia Toa Alta Inc3 organizations share this tax ID, including this one
Part of
Policlinica la Familia Toa Alta Inc

Other organizations with this tax ID 2

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": "1299542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1437457967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 867",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00954",
            "telephone_number": "787-870-7070",
            "fax_number": "787-870-6382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 10 G21 VILLA MATILDE",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00953",
            "telephone_number": "787-870-7070",
            "fax_number": "787-870-6382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLICLINICA LA FAMILIA DE TOA ALTA INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INCORPORATION",
        "enumeration_date": "2011-03-08",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "CHEVRES",
        "authorized_official_first_name": "ITZA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-870-7070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PR",
            "license": "9462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centro de Vacunacion",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Toa Alta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.