NPIMap

Organization Active NPI

Policlinica del Atlantico Corp

Doing business as CDT Policlinica del Atlantico

  • Emergency Care Clinic/Center
  • Isabela, PR
National Provider Identifier
1619074440
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
License
6 Issued in PR
Legal business name
POLICLINICA DEL ATLANTICO CORP
Doing business as
CDT Policlinica del Atlantico
Practice address
Carr 2 KM 111.3
Bo Mora
Isabela, PR 00662
Phone
(787) 830-7737
NPI assigned
Sep 20, 2006
Last updated
Apr 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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

Authorized official

Name
Dr. Adrian Girald RosaNPI 1073758439
Title
President
Phone
(787) 830-7737

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)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X 6 PR Primary

Addresses

Primary practice location

Carr 2 KM 111.3
Bo Mora
Isabela, PR 00662

Mailing address

3623 Ave Militar PMB 226
Isabela, PR 00662-5802
Phone (787) 830-7737

Other practice location 1

8269 Ave Jobos
Isabela, PR 00662-2227
Phone (787) 830-7737

Other names 1

  • CDT POLICLINICA DEL ATLANTICO Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031121000282 PR Part B Supplier - Clinic/Group Practice 7911801915 Receives reassigned benefits from 10 practitioners
Practice locations: Isabela, PR

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Policlinica del Atlantico5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586822400000",
    "number": "1619074440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3623 AVE MILITAR PMB 226",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006625802",
            "telephone_number": "787-830-7737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2 KM 111.3",
            "address_2": "BO MORA",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "00662",
            "telephone_number": "787-830-7737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8269 Ave Jobos",
            "address_purpose": "LOCATION",
            "city": "Isabela",
            "state": "PR",
            "postal_code": "006622227",
            "country_code": "US",
            "telephone_number": "787-830-7737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "POLICLINICA DEL ATLANTICO CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A",
        "authorized_official_last_name": "GIRALD ROSA",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-830-7737",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "PR",
            "license": "6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CDT POLICLINICA DEL ATLANTICO",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CDT POLICLINICA DEL ATLANTICO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Isabela, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.

Verify at the official NPI Registry.