NPIMap

Organization Active NPI

Centro de Servicios Medicos de Pena Pobre

  • State or Local Public Health Clinic/Center
  • Naguabo, PR
National Provider Identifier
1689619660
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
License
30673 Issued in PR
Legal business name
CENTRO DE SERVICIOS MEDICOS DE PENA POBRE
Practice address
Street 31
192
Naguabo, PR 00718
Phone
(787) 874-3037
Fax
(787) 874-3037
NPI assigned
Jun 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Mrs. Gladys Pomales
Title
Administrator
Phone
(787) 874-3037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X 30673 PR Primary

Addresses

Primary practice location

Street 31
192
Naguabo, PR 00718

Mailing address

Street 31
192
Naguabo, PR 00718
Phone (787) 874-3037

Other identifiers 6

IdentifierTypeStateIssuer
201648OtherPRPREFERRED HEALTH
6701184OtherPRHUMANA
9001119OtherPRCRUZ AZUL DE PUERTO RICO
00409OtherPRAMERICAN HEALTH
2991-1OtherPRPROSAM
89681OtherPRTRIPLE S

Other names 1

  • Centro de Servicios Medicos de Municipio de naguabo Former legal business name

National Provider Directory

National Provider Directory

Practitioners 4

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": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1689619660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STREET 31",
            "address_2": "192",
            "city": "NAGUABO",
            "state": "PR",
            "postal_code": "00718",
            "telephone_number": "787-874-3037",
            "fax_number": "787-874-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STREET 31",
            "address_2": "192",
            "city": "NAGUABO",
            "state": "PR",
            "postal_code": "00718",
            "telephone_number": "787-874-3037",
            "fax_number": "787-874-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE SERVICIOS MEDICOS DE PENA POBRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "POMALES",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-874-3037",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "PR",
            "license": "30673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH",
            "identifier": "201648",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "6701184",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL DE PUERTO RICO",
            "identifier": "9001119",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH",
            "identifier": "00409",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROSAM",
            "identifier": "2991-1",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "89681",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centro de Servicios Medicos de Municipio de naguabo",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Naguabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.