Organization Active NPI

Sala de Urgencias Shalom

  • Urgent Care Clinic/Center
  • Quebradillas, PR
National Provider Identifier
1669704219
Registry record updated Feb 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
13 Issued in PR
Legal business name
SALA DE URGENCIAS SHALOM
Practice address
Carr 2 KM 101 6
Terranova Marginal del Parque
Quebradillas, PR 00678
Phone
(787) 895-0914
Fax
(787) 895-4999
NPI assigned
Feb 8, 2010
Last updated
Feb 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2010

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

Authorized official

Name
Dr. Anibal Pagan Romero, M.D.NPI 1508949637
Title
Medical Director
Phone
(787) 895-0914

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 13 PR Primary

Addresses

Primary practice location

Carr 2 KM 101 6
Terranova Marginal del Parque
Quebradillas, PR 00678

Mailing address

PO Box 903
Quebradillas, PR 00678-0903
Phone (787) 895-0914

Other identifiers 1

IdentifierTypeStateIssuer
13OtherPRURGENT CARE FACILITY

National Provider Directory

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": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265587200000",
    "number": "1669704219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 903",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006780903",
            "telephone_number": "787-895-0914",
            "fax_number": "787-895-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2 KM 101 6",
            "address_2": "TERRANOVA MARGINAL DEL PARQUE",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "00678",
            "telephone_number": "787-895-0914",
            "fax_number": "787-895-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALA DE URGENCIAS SHALOM",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2010-02-08",
        "status": "A",
        "authorized_official_last_name": "PAGAN ROMERO",
        "authorized_official_first_name": "ANIBAL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "787-895-0914",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "PR",
            "license": "13",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "URGENT CARE FACILITY",
            "identifier": "13",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quebradillas, PR

Sources for this page

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