Organization Active NPI

Centroclinicodelsur Corp

  • Family Medicine Physician
  • Ponce, PR
National Provider Identifier
1578370334
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CENTROCLINICODELSUR CORP
Practice address
Urbanizacin Los Caobos Calle Caobar 330
Ponce, PR 00716-2745
Phone
(787) 840-0490
Fax
(707) 651-6555
NPI assigned
Dec 16, 2024
Last updated
Dec 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Elvin J Pacheco Begarra, M.D.
Title
Medico-
Phone
(787) 840-0490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

Urbanizacin Los Caobos Calle Caobar 330
Ponce, PR 00716-2745

Mailing address

Urbanizacin Los Caobos Calle Caobar 330
Ponce, PR 00716-2745
Phone (787) 840-0490

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1578370334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URBANIZACIN LOS CAOBOS CALLE CAOBAR 330",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162745",
            "telephone_number": "787-840-0490",
            "fax_number": "787-651-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URBANIZACIN LOS CAOBOS CALLE CAOBAR 330",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162745",
            "telephone_number": "787-840-0490",
            "fax_number": "707-651-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTROCLINICODELSUR CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "PACHECO BEGARRA",
        "authorized_official_first_name": "ELVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICO-",
        "authorized_official_telephone_number": "787-840-0490",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.