Organization Active NPI

Centro Ambulatorio de Cirugia Especializada

  • Ambulatory Surgical Clinic/Center
  • Ponce, PR
National Provider Identifier
1689200149
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CENTRO AMBULATORIO DE CIRUGIA ESPECIALIZADA
Practice address
921 Ave Tito Castro
Ponce, PR 00716-4717
Phone
(787) 284-8800
NPI assigned
Mar 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Authorized official

Name
Roberto I Ruiz
Title
Administrator
Phone
(787) 249-5097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

921 Ave Tito Castro
Ponce, PR 00716-4717

Mailing address

PO Box 1715
Lajas, PR 00667-1715
Phone (787) 840-6290

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220607001059 PR Part B Supplier - Ambulatory Surgical Center 1658759410 Practice locations: Ponce, PR

Ambulatory surgical center certification: CCN 40C0001110

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Centro Ambulatorio de Cirugia Especializada, LLC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Jan 7, 2025
Last certification
Dec 12, 2024
Ownership / control type
Proprietary
Facility address
921 Ave Tito Castro
Ponce, PR 00716

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
40D2225648Centro Ambulatorio de Cirugia Especializada921 Ave Tito Castro, Ponce, PR 00716Certificate of waiverMay 23, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1689200149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1715",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "006671715",
            "telephone_number": "787-840-6290",
            "fax_number": "787-899-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 AVE TITO CASTRO",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164717",
            "telephone_number": "787-284-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO AMBULATORIO DE CIRUGIA ESPECIALIZADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-17",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-249-5097"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.