Organization Active NPI

Medical Family Center

Doing business as Centro Servicios Ambulatorios

  • Clinic Pharmacy
  • Cidra, PR
National Provider Identifier
1457421265
Registry record updated Mar 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
17F1977 Issued in PR
Legal business name
MEDICAL FAMILY CENTER
Doing business as
Centro Servicios Ambulatorios
Practice address
Ave El Jibaro Bo Bayamon
Pargue Industrial
Cidra, PR 00739
Phone
(787) 714-0410
Fax
(787) 714-0410
NPI assigned
Nov 9, 2006
Last updated
Mar 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2015

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

Authorized official

Name
Ruben Mendez Benabe
Title
President
Phone
(787) 714-0410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 17F1977 PR Primary

Addresses

Primary practice location

Ave El Jibaro Bo Bayamon
Pargue Industrial
Cidra, PR 00739

Mailing address

PO Box 1862
Cidra, PR 00739-1862

Other names 1

  • CENTRO SERVICIOS AMBULATORIOS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Centro Servicios Ambulatorios3 organizations share this tax ID, including this one

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": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1457421265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1862",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007391862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE EL JIBARO BO BAYAMON",
            "address_2": "PARGUE INDUSTRIAL",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "00739",
            "telephone_number": "787-714-0410",
            "fax_number": "787-714-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL FAMILY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "MENDEZ BENABE",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-714-0410"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "PR",
            "license": "17F1977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRO SERVICIOS AMBULATORIOS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cidra, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.