NPIMap

Organization Active NPI

Ipa 508 Belaval

Doing business as Junta del Centro de Salud Comunal Dr. Jose S. Belaval, Inc.

  • Federally Qualified Health Center (FQHC)
  • San Juan, PR
National Provider Identifier
1538310040
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
156 Issued in PR
Legal business name
IPA 508 BELAVAL
Doing business as
Junta del Centro de Salud Comunal Dr. Jose S. Belaval, Inc.
Practice address
2003 Ave Borinquen
San Juan, PR 00915-3814
Phone
(787) 268-4171
Fax
(787) 727-3695
NPI assigned
Oct 2, 2008
Last updated
Oct 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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

Authorized official

Name
Miss Damaris Flores
Title
Health Educator
Phone
(787) 268-4171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 156 PR Primary

Addresses

Primary practice location

2003 Ave Borinquen
San Juan, PR 00915-3814

Mailing address

PO Box 14457
San Juan, PR 00916-4457
Phone (787) 268-4171

Other names 1

  • Junta del Centro de Salud Comunal Dr. Jose S. Belaval, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
HPM Location Inc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

2003 Ave Borinquen
San Juan, PR 00915

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": "1222905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1538310040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14457",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009164457",
            "telephone_number": "787-268-4171",
            "fax_number": "787-727-3695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 AVE BORINQUEN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009153814",
            "telephone_number": "787-268-4171",
            "fax_number": "787-727-3695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IPA 508 BELAVAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-02",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "DAMARIS",
        "authorized_official_title_or_position": "HEALTH EDUCATOR",
        "authorized_official_telephone_number": "787-268-4171",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "PR",
            "license": "156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Junta del Centro de Salud Comunal Dr. Jose S. Belaval, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.