Organization Active NPI

Intervenciones Creativas

  • Specialist
  • Caguas, PR
National Provider Identifier
1457764243
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2294 Issued in PR
Legal business name
INTERVENCIONES CREATIVAS
Practice address
A-5 Calle 1 Altos
Urb. Condado Moderno
Caguas, PR 00725
Phone
(787) 648-7171
Fax
(787) 961-6086
NPI assigned
Jun 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Ms. Luis Frank Gonzalez, PHL
Title
Consejero Profesional -Propietario
Phone
(787) 648-7171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 2294 PR Primary

Addresses

Primary practice location

A-5 Calle 1 Altos
Urb. Condado Moderno
Caguas, PR 00725

Mailing address

PMB 289-200
Ave. Rafael Cordero
Caguas, PR 00725
Phone (787) 648-7171

Other identifiers 1

IdentifierTypeStateIssuer
$$$$$$$$$OtherPRSOCIAL SECURITY

Other names 1

  • intervenciones creativas Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1457764243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 289-200",
            "address_2": "AVE. RAFAEL CORDERO",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-648-7171",
            "fax_number": "787-961-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A-5 CALLE 1 ALTOS",
            "address_2": "URB. CONDADO MODERNO",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-648-7171",
            "fax_number": "787-961-6086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENCIONES CREATIVAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-09",
        "last_updated": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "CONSEJERO PROFESIONAL -PROPIETARIO",
        "authorized_official_telephone_number": "787-648-7171",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHL"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "2294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY",
            "identifier": "$$$$$$$$$",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "intervenciones creativas",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.