NPIMap

Organization Active NPI

CDT Dorado Medical Complex Inc

  • Clinic Pharmacy
  • Dorado, PR
National Provider Identifier
1497807473
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
08F2467 Issued in PR
Legal business name
CDT DORADO MEDICAL COMPLEX INC
Practice address
349 Calle Mendez Vigo
Ste 10
Dorado, PR 00646-4917
Phone
(787) 278-1576
Fax
(787) 278-0936
NPI assigned
Jan 18, 2007
Last updated
Sep 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Authorized official

Name
Judith Perez, RPHNPI 1609925379
Title
Pharmacist
Phone
(787) 278-1576

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 08F2467 PR Primary

Addresses

Primary practice location

349 Calle Mendez Vigo
Ste 10
Dorado, PR 00646-4917

Mailing address

349 Calle Mendez Vigo
Ste 10
Dorado, PR 00646-4917

Other identifiers 2

IdentifierTypeStateIssuer
4025551OtherOTHER ID NUMBER-COMMERCIAL NUMBER
4025551OtherOTHER ID NUMBER

National Provider Directory

National Provider Directory
Tax ID family
CDT Dorado Medical Complex Inc3 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.

Practitioners & affiliated clinicians

Practitioners 1

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1497807473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 CALLE MENDEZ VIGO",
            "address_2": "STE 10",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 CALLE MENDEZ VIGO",
            "address_2": "STE 10",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464917",
            "telephone_number": "787-278-1576",
            "fax_number": "787-278-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDT DORADO MEDICAL COMPLEX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "787-278-1576",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "PR",
            "license": "08F2467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4025551",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4025551",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorado, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.