NPIMap

Organization Active NPI

Centro de Diagnostico Y Tratamiento de San Sebastian Inc

  • Public Health & General Preventive Medicine Physician
  • Arecibo, PR
National Provider Identifier
1639939762
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
Legal business name
CENTRO DE DIAGNOSTICO Y TRATAMIENTO DE SAN SEBASTIAN INC
Practice address
Barrio Hato Abajo Carretera #2 KM 80.7
Arecibo, PR 00612
Phone
(787) 896-1850
Fax
(787) 280-9497
NPI assigned
Mar 19, 2024
Last updated
Mar 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Authorized official

Name
Vivian Feliciano
Title
Ceo
Phone
(787) 896-1850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X NU Primary

Addresses

Primary practice location

Barrio Hato Abajo Carretera #2 KM 80.7
Arecibo, PR 00612

Mailing address

PO Box 486
San Sebastian, PR 00685-0486
Phone (787) 896-1850

National Provider Directory

National Provider Directory
Tax ID family
Centro de Medicina Y Ci9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1639939762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 486",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006850486",
            "telephone_number": "787-896-1850",
            "fax_number": "787-280-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BARRIO HATO ABAJO CARRETERA #2 KM 80.7",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-896-1850",
            "fax_number": "787-280-9497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE DIAGNOSTICO Y TRATAMIENTO DE SAN SEBASTIAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "FELICIANO",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "787-896-1850"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 19, 2024; 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.