Organization Active NPI

Criolite

  • Meals Provider
  • Caguas, PR
National Provider Identifier
1679040968
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Meals ProviderTaxonomy code 174200000X
Legal business name
CRIOLITE
Practice address
1408 Cond Puerta del Parque
Caguas, PR 00727-3142
Phone
(787) 426-5649
NPI assigned
Oct 25, 2018
Last updated
Oct 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

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

Authorized official

Name
Rosa Garcia
Title
Owner
Phone
(787) 426-5649

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X NU Primary

Addresses

Primary practice location

1408 Cond Puerta del Parque
Caguas, PR 00727-3142

Mailing address

1408 Cond Puerta del Parque
Caguas, PR 00727-3142

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540425600000",
    "number": "1679040968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 COND PUERTA DEL PARQUE",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007273142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 COND PUERTA DEL PARQUE",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007273142",
            "telephone_number": "787-426-5649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRIOLITE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-25",
        "last_updated": "2018-10-25",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-426-5649"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.