Clinica Espanola Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

13F-1043 Issued in PR

Legal business name

CLINICA ESPANOLA INC

Doing business as

Clinica Espanola Inc

Practice address

Barrio Balboa Sector la Quinta Carr 106
Mayaguez, PR 00680

Phone

(787) 832-0404

Fax

(787) 831-0034

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Emigolio Agostini

Title

Admin Pres Junta de Gobierno

Phone

(787) 832-0404

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• CLINICA ESPANOLA INC Doing business as

Tax ID family

Clinica Espanola Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Clinica Espanola, Inc.

  • Clinical Medical Laboratory
  • Mayaguez, PR
  • NPI 1205052131
  NPD tax ID

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337817600000",
    "number": "1598820540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006810490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BARRIO BALBOA SECTOR LA QUINTA CARR 106",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-832-0404",
            "fax_number": "787-831-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA ESPANOLA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2012-05-24",
        "status": "A",
        "authorized_official_last_name": "AGOSTINI",
        "authorized_official_first_name": "EMIGOLIO",
        "authorized_official_title_or_position": "ADMIN PRES JUNTA DE GOBIERNO",
        "authorized_official_telephone_number": "787-832-0404"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "13F-1043",
            "primary": true
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4025498",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLINICA ESPANOLA INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mikeel Yadier Class Medina, PHARMD
• Madeline Clavell, SOCIAL WORKER
• Clinica Cirugia Ambulatoria Dr. Luis a. Vazquez, Inc
• Clinica de Salud Y Prevencion de Mayaguez LLC
• Clinica de Servicios de Patologia del Habla Y Lenguaje (Clisep),C.S.P. (Clisep Habla Y Lenguaje)
• Clinica Espanola, Inc.
• Clinica Espanola, Inc.
• Clinica Homeostasis LLC
• Clinica Optometrica Dr. Manuel Morell-Agrinsoni, CSP
• Clinica Psicologica Sinapsis

• Community/Retail Pharmacy in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Community/Retail Pharmacy in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; 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.