Organization Active NPI

Puerto Rico Community for Clinical Services, Research and Health

  • Community Health Clinic/Center
  • San Juan, PR
National Provider Identifier
1558039651
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
PUERTO RICO COMMUNITY FOR CLINICAL SERVICES, RESEARCH AND HEALTH
Practice address
PR-21 U3-1, Urb. Las Lomas
San Juan, PR 00921-0092
Phone
(787) 753-9443
NPI assigned
Sep 2, 2021
Organization subpart
Yes
Parent organization
PUERTO RICO COMMUNITY FOR CLINICAL SERVICES, RESEARCH AND HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Authorized official

Name
Francisco Rodriguez
Title
It Director
Phone
(787) 753-9443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

PR-21 U3-1, Urb. Las Lomas
San Juan, PR 00921-0092

Mailing address

1162 Calle Brumbaugh
Urb. Garcia Ubarri
San Juan, PR 00925
Phone (787) 753-9443

Other names 1

  • Centro de Prevencion 330 - Las Lomas Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Puerto Rico Community for Clinical Services Research and Health3 organizations share this tax ID, including this one
Part of
Puerto Rico Community for Clinical Services Research and Health

Other organizations with this tax ID 2

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

Locations

1162 Calle Brumbaugh
San Juan, PR 00925
Phone (787) 753-9443

NPI Registry JSON

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1558039651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1162 CALLE BRUMBAUGH",
            "address_2": "URB. GARCIA UBARRI",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00925",
            "telephone_number": "787-753-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PR-21 U3-1, URB. LAS LOMAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009210092",
            "telephone_number": "787-753-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUERTO RICO COMMUNITY FOR CLINICAL SERVICES, RESEARCH AND HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PUERTO RICO COMMUNITY FOR CLINICAL SERVICES, RESEARCH AND HEALTH",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_title_or_position": "IT DIRECTOR",
        "authorized_official_telephone_number": "787-753-9443"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centro de Prevencion 330 - Las Lomas",
            "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 Sep 2, 2021; 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.