Organization Active NPI

NDN Salud CRL

  • Health Maintenance Organization
  • Toa Alta, PR
National Provider Identifier
1548664105
Registry record updated Oct 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
11254 Issued in PR
Legal business name
NDN SALUD CRL
Practice address
Carr. 828, KM. 0.1
Barrio Pinas
Toa Alta, PR 00953
Phone
(787) 279-3297
Fax
(787) 279-3297
NPI assigned
Oct 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2014

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

Authorized official

Name
Dr. Nydia M Lopez
Title
Owner
Phone
(787) 279-3297

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 11254 PR Primary

Addresses

Primary practice location

Carr. 828, KM. 0.1
Barrio Pinas
Toa Alta, PR 00953

Mailing address

1130 Calle Italia
Plaza de la Fuente
Toa Alta, PR 00953-3801
Phone (787) 279-3297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180502001442 PR Part B Supplier - Clinic/Group Practice 8022372804 Receives reassigned benefits from 1 practitioner
Practice locations: Toa Alta, PR

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": "1412899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412899200000",
    "number": "1548664105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 CALLE ITALIA",
            "address_2": "PLAZA DE LA FUENTE",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009533801",
            "telephone_number": "787-279-3297",
            "fax_number": "787-296-4671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 828, KM. 0.1",
            "address_2": "BARRIO PINAS",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00953",
            "telephone_number": "787-279-3297",
            "fax_number": "787-279-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NDN SALUD CRL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-10",
        "last_updated": "2014-10-10",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "NYDIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-279-3297",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "PR",
            "license": "11254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Alta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.