Humacao Health Clinic PHG

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

HUMACAO HEALTH CLINIC PHG

Practice address

Calle Flor Gerena
#6 Sur
Humacao, PR 00791

Phone

(787) 656-9939

Fax

(787) 522-0649

NPI assigned

Jan 27, 2010

Last updated

Jan 27, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Idalia Soto Rivera

Title

Manager

Phone

(787) 368-9787

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1508197765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CALLE CALAF STE 361",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181314",
            "telephone_number": "787-993-3535",
            "fax_number": "787-522-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE FLOR GERENA",
            "address_2": "#6 SUR",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-656-9939",
            "fax_number": "787-522-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMACAO HEALTH CLINIC PHG",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "SOTO RIVERA",
        "authorized_official_first_name": "IDALIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "787-368-9787"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTION HEALTH GROUP, INC",
            "identifier": "660638103",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hospital Oriente Inc
• Humacao Anesthesia Service PSC
• Humacao Anesthesia Services LLC
• Humacao Critical Care Inc
• Humacao Eye Services, LLC
• Humacao Parcial
• Humacao Vision Center (Humacao Vision Center, inc)
• Humacaohomecare
• Humed LLC
• I-Care Medical Service LLC

• Clinic/Center in Humacao, PR
• Providers in Humacao, PR by specialty
• Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.