Organization Active NPI

Tabula Rasa Corp

  • Multi-Specialty Clinic/Center
  • Bayamon, PR
National Provider Identifier
1487546560
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
TABULA RASA CORP
Practice address
C/Reverendo Domingo Navarro
Bayamon, PR 00961
Phone
(787) 605-5833
NPI assigned
Jul 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Authorized official

Name
Kendra Alvares-Santiago
Title
Presidente
Phone
(787) 605-4124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

C/Reverendo Domingo Navarro
Bayamon, PR 00961

Mailing address

W-23 Bayamon Gardens
C/18
Bayamon, PR 00957-0000
Phone (787) 605-4124

Other names 1

  • TABULA RASA CORP 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": "1752537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1487546560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W-23 BAYAMON GARDENS",
            "address_2": "C/18",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009570000",
            "telephone_number": "787-605-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C/REVERENDO DOMINGO NAVARRO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-605-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABULA RASA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-01",
        "status": "A",
        "authorized_official_last_name": "ALVARES-SANTIAGO",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-605-4124"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TABULA RASA CORP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.