Organization Active NPI

Centro de Heridas, Corp.

  • Health Service Clinic/Center
  • San German, PR
National Provider Identifier
1467681809
Registry record updated Jul 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
CENTRO DE HERIDAS, CORP.
Practice address
Hospital de la Concepcion Carr. 2 KM. 172
Suite 103 Torre San Vicente de Paul Primer Piso
San German, PR 00683
Phone
(787) 632-4780
NPI assigned
Jul 7, 2009
Last updated
Jul 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2009

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

Authorized official

Name
Mrs. Veronica Flores
Title
Administrator
Phone
(787) 632-4780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

Hospital de la Concepcion Carr. 2 KM. 172
Suite 103 Torre San Vicente de Paul Primer Piso
San German, PR 00683

Mailing address

PO Box 1954
Mayaguez, PR 00681-1954
Phone (787) 632-4780

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100309000858 PR Part B Supplier - Clinic/Group Practice 8426193681 Receives reassigned benefits from 2 practitioners
Practice locations: San German, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246924800000",
    "number": "1467681809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1954",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006811954",
            "telephone_number": "787-632-4780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL DE LA CONCEPCION CARR. 2 KM. 172",
            "address_2": "SUITE 103 TORRE SAN VICENTE DE PAUL PRIMER PISO",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-632-4780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE HERIDAS, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-07",
        "last_updated": "2009-07-07",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-632-4780",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; 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.