Active NPI
Centro Ambulatorio de Cirugia Especializada
- Ambulatory Surgical Clinic/Center
- Ponce, PR
National Provider Identifier
1689200149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 40D2225648 | Centro Ambulatorio de Cirugia Especializada | Certificate of waiver | May 23, 2027 |
National Provider Directory
National Provider DirectoryNPI 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.