NPIMap

Organization Active NPI

Empresa Municipal Salud Integral de la Tierra Alta

  • Primary Care Clinic/Center
  • Jayuya, PR
National Provider Identifier
1659775757
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
EMPRESA MUNICIPAL SALUD INTEGRAL DE LA TIERRA ALTA
Practice address
2 Calle Rosanta Aulet
Jayuya, PR 00664-1328
Phone
(787) 828-0305
Fax
(787) 828-0901
NPI assigned
Oct 17, 2014
Last updated
Apr 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Authorized official

Name
Mrs. Wanda I Zamora
Title
Administrativo
Phone
(787) 828-0305

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X NU
Primary Care Clinic/Center 261QP2300X NU Primary
General Acute Care Hospital 282N00000X NU
General Practice Physician 208D00000X NU

Addresses

Primary practice location

2 Calle Rosanta Aulet
Jayuya, PR 00664-1328

Mailing address

PO Box 410
Jayuya, PR 00664-0410
Phone (787) 828-0305

Other names 1

  • Empresa Municipal Salud Integral de la Tierra Alta Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160927003014 PR Part B Supplier - Clinic/Group Practice 7517254022 Receives reassigned benefits from 2 practitioners
Practice locations: Jayuya, PR

National Provider Directory

National Provider Directory
Tax ID family
Empresa Municipal Salud Integral de la Tierra Alta6 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 2

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": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1659775757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 410",
            "city": "JAYUYA",
            "state": "PR",
            "postal_code": "006640410",
            "telephone_number": "787-828-0305",
            "fax_number": "787-828-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CALLE ROSANTA AULET",
            "city": "JAYUYA",
            "state": "PR",
            "postal_code": "006641328",
            "telephone_number": "787-828-0305",
            "fax_number": "787-828-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPRESA MUNICIPAL SALUD INTEGRAL DE LA TIERRA ALTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "ZAMORA",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "ADMINISTRATIVO",
        "authorized_official_telephone_number": "787-828-0305",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Empresa Municipal Salud Integral de la Tierra Alta",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Empresa Municipal Salud Integral de la Tierra Alta",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Jayuya, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.