NPIMap

Organization Active NPI

Corporacion Fondo Seguro Estado Aguadilla

  • State or Local Public Health Clinic/Center
  • Aguadilla, PR
National Provider Identifier
1689106932
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
License
8543 Issued in PR
Legal business name
CORPORACION FONDO SEGURO ESTADO AGUADILLA
Practice address
Carr 2 KM 126.4
Bo Caimital Bajo
Aguadilla, PR 00603
Phone
(787) 891-0805
Fax
(787) 882-4605
NPI assigned
Mar 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Authorized official

Name
Juan Francisco Hernandez, M.D.
Title
Medical Director
Phone
(787) 891-0805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X 8543 PR Primary

Addresses

Primary practice location

Carr 2 KM 126.4
Bo Caimital Bajo
Aguadilla, PR 00603

Mailing address

PO Box 336
Aguadilla, PR 00605-0336
Phone (787) 891-0805

Other names 1

  • CFSE Aguadilla Other name

National Provider Directory

National Provider Directory
Tax ID family
Corporacion Fondo Seguro Estado Fajardo14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1689106932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 336",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006050336",
            "telephone_number": "787-891-0805",
            "fax_number": "787-882-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2 KM 126.4",
            "address_2": "BO CAIMITAL BAJO",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-891-0805",
            "fax_number": "787-882-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPORACION FONDO SEGURO ESTADO AGUADILLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "FRANCISCO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "787-891-0805",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "PR",
            "license": "8543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CFSE Aguadilla",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Aguadilla, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.