Policlinica de Familia Factor Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

842 Issued in PR

Legal business name

POLICLINICA DE FAMILIA FACTOR INC

Practice address

Carr #2 KM 65.6
Bo Factor 1
Arecibo, PR 00612

Phone

(787) 881-2953

Fax

(787) 881-4807

NPI assigned

Jul 5, 2006

Organization subpart

Yes

Parent organization

POLICLINICA DE FAMILIA FACTOR INCAs reported in NPPES

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

Authorized official

Name

Mrs. Brunilda Soto

Title

Administrator

Phone

(787) 881-2953

Specialties & licenses 1

Addresses

Other names 1

• POLICLINICA DE FAMILIA FACTOR INC Former legal business name

Part of

CDT Polic Familiar Fact

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1508897299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 970",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006130970",
            "telephone_number": "787-881-2953",
            "fax_number": "787-881-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR #2 KM 65.6",
            "address_2": "BO FACTOR 1",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-881-2953",
            "fax_number": "787-881-4807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLICLINICA DE FAMILIA FACTOR INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "POLICLINICA DE FAMILIA FACTOR INC",
        "enumeration_date": "2006-07-05",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "BRUNILDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-881-2953",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POLICLINICA DE FAMILIA FACTOR INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• PMC Marketing Corp
• Manuel R Polanco Martinez, MD
• Addy Polanco
• Jorge L Polanco Sr.
• Policlinica de Familia Factor Inc
• Jose L. Portalatin Rodriguez, MD
• Meredith Portalatin, MD
• Rafael A Portela Gonzalez, D.M.D.
• PR Diabetics Inc.
• PR Endodontics LLC

• Clinical Medical Laboratory in Arecibo, PR
• Providers in Arecibo, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.