NPIMap

Organization Active NPI

Corporacion del Fondo del Seguro del Estado

  • State or Local Public Health Clinic/Center
  • Arecibo, PR
National Provider Identifier
1619245487
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
License
125 Issued in PR
Legal business name
CORPORACION DEL FONDO DEL SEGURO DEL ESTADO
Practice address
Carr 2 Ave Miramar
KM 78.7
Arecibo, PR 00612
Phone
(787) 793-5959
Fax
(787) 782-0870
NPI assigned
Dec 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Authorized official

Name
Mr. Jorge Alberto Garcia, M.H.S.A
Title
Director Ejecutivo
Phone
(787) 793-5959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X 125 PR Primary

Addresses

Primary practice location

Carr 2 Ave Miramar
KM 78.7
Arecibo, PR 00612

Mailing address

PO Box 365028
San Juan, PR 00936-5028
Phone (787) 793-5959

Other names 1

  • CDT REGION ARECIBO Other name

National Provider Directory

National Provider Directory
Tax ID family
Corporacion Fondo Seguro Estado Fajardo14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1619245487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365028",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009365028",
            "telephone_number": "787-793-5959",
            "fax_number": "787-782-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2 AVE MIRAMAR",
            "address_2": "KM 78.7",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-793-5959",
            "fax_number": "787-782-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPORACION DEL FONDO DEL SEGURO DEL ESTADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "DIRECTOR EJECUTIVO",
        "authorized_official_telephone_number": "787-793-5959",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.H.S.A"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "PR",
            "license": "125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CDT REGION ARECIBO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.