CDT de Canovanas

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

CDT DE CANOVANAS

Practice address

Ave. Corchado Final
Canovanas, PR 00729-2003

Phone

(787) 876-5000

Fax

(787) 886-2203

NPI assigned

Feb 9, 2007

Last updated

Jul 15, 2016By 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

Eduardo Sotomayor, MHSA 79

Title

Administrador

Phone

(787) 420-0213

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468540800000",
    "number": "1447391685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2003",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007292003",
            "telephone_number": "787-876-5000",
            "fax_number": "787-886-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. CORCHADO FINAL",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007292003",
            "telephone_number": "787-876-5000",
            "fax_number": "787-886-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDT DE CANOVANAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2016-07-15",
        "status": "A",
        "authorized_official_last_name": "SOTOMAYOR",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "ADMINISTRADOR",
        "authorized_official_telephone_number": "787-420-0213",
        "authorized_official_credential": "MHSA 79"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jissela Carrion
• Antulio Casiano Sosa, MD
• Myreliz Casillas Mangual, DC
• Myrna Enid Casillas
• Iris R Castro
• Centro de Apoyo Para Familias Seguras, Inc.
• Centro de Orientacion Y Ayuda Psiquiatrica Inc. (Centro Psicoterapeutico)
• Centro de Rehabilitacion Inc
• Centro de Terapia Fisica Campo Rico Inc
• Centro de Terapia Fisica del Noreste Inc

• Emergency Care Clinic/Center in Canovanas, PR
• Providers in Canovanas, PR by specialty
• Emergency Care Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; 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.