NPIMap

Organization Active NPI

Sala Emergencias San Lucas

  • Emergency Care Clinic/Center
  • Ponce, PR
National Provider Identifier
1659680486
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
License
31 Issued in PR
Legal business name
SALA EMERGENCIAS SAN LUCAS
Practice address
Carr PR 2 KM 121.9
Comunidad Brisas del Caribe
Ponce, PR 00733
Phone
(787) 259-1101
NPI assigned
Sep 28, 2010
Organization subpart
Yes
Parent organization
SAINT LUKES MEMORIAL HOSPITAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Authorized official

Name
Mr. Guillermo Martin, MHSA
Title
Ceo
Phone
(787) 844-2080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X 31 PR Primary

Addresses

Primary practice location

Carr PR 2 KM 121.9
Comunidad Brisas del Caribe
Ponce, PR 00733

Mailing address

PO Box 336810
Ponce, PR 00733-6810
Phone (787) 844-2080

Other identifiers 1

IdentifierTypeStateIssuer
10020OtherPRSSS

National Provider Directory

National Provider Directory
Tax ID family
Sala Emergencias San Lucas7 organizations share this tax ID, including this one
Part of
Sala Emergencias San Lucas

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1659680486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 336810",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007336810",
            "telephone_number": "787-844-2080",
            "fax_number": "787-844-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR PR 2 KM 121.9",
            "address_2": "COMUNIDAD BRISAS DEL CARIBE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00733",
            "telephone_number": "787-259-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALA EMERGENCIAS SAN LUCAS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT LUKES MEMORIAL HOSPITAL INC",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "787-844-2080",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHSA"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "PR",
            "license": "31",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "10020",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.