NPIMap

Organization Active NPI

CDT Policlinica Familiar Florida CSP

  • Health Maintenance Organization
  • Florida, PR
National Provider Identifier
1609922749
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
CDT POLICLINICA FAMILIAR FLORIDA CSP
Practice address
72 Calle Arizmendi
Florida, PR 00650-2006
Phone
(787) 822-3446
NPI assigned
Jan 25, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Vilma M PadillaNPI 1346387792
Title
Administrator
Phone
(787) 822-3446

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X NU Primary

Addresses

Primary practice location

72 Calle Arizmendi
Florida, PR 00650-2006

Mailing address

PO Box 1336
Hatillo, PR 00659-1336

Other identifiers 1

IdentifierTypeStateIssuer
17105OtherPRTRIPLE-S

National Provider Directory

National Provider Directory
Tax ID family
CDT Policlinica Familiar Florida6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609922749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1336",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006591336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 CALLE ARIZMENDI",
            "city": "FLORIDA",
            "state": "PR",
            "postal_code": "006502006",
            "telephone_number": "787-822-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDT POLICLINICA FAMILIAR FLORIDA CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PADILLA",
        "authorized_official_first_name": "VILMA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-822-3446",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE-S",
            "identifier": "17105",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florida, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.