Active NPI
Health Med Care,CSP
- Health Service Clinic/Center
- Manati, PR
National Provider Identifier
1609199306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 14451
- Legal business name
- HEALTH MED CARE,CSP
- Practice address
- Carr 668
Felix Cordoba Davila 158
Manati, PR 00674 - Phone
- (787) 458-2300
- NPI assigned
- Mar 9, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Midalie J Caban, MD
- Title
- President
- Phone
- (787) 458-2300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 14451 | PR | Primary |
Addresses
Primary practice location
Carr 668
Felix Cordoba Davila 158
Manati, PR 00674
Mailing address
16 Calle L
Parc. Rodriguez Olmo
Arecibo, PR 00612-4201
Phone (787) 458-2300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BC8006149 | Other | PR | FEDERAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Manati, PR
- NPI 1801874789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268092800000",
"number": "1609199306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 CALLE L",
"address_2": "PARC. RODRIGUEZ OLMO",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006124201",
"telephone_number": "787-458-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 668",
"address_2": "FELIX CORDOBA DAVILA 158",
"city": "MANATI",
"state": "PR",
"postal_code": "00674",
"telephone_number": "787-458-2300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH MED CARE,CSP",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-09",
"last_updated": "2010-03-09",
"status": "A",
"authorized_official_last_name": "CABAN",
"authorized_official_first_name": "MIDALIE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-458-2300",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "PR",
"license": "14451",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL",
"identifier": "BC8006149",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manati, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.