NPIMap

Organization Active NPI

Centro Ararat Inc

  • Multi-Specialty Clinic/Center
  • Arecibo, PR
National Provider Identifier
1699323691
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
CENTRO ARARAT INC
Practice address
60 Calle Domingo Rubio
Arecibo, PR 00612-4473
Phone
(787) 680-0236
Fax
(787) 816-5715
NPI assigned
Sep 3, 2019
Organization subpart
Yes
Parent organization
CENTRO ARARAT INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Authorized official

Name
Ivan Melendez-Rivera, MD
Title
Medical Director
Phone
(787) 284-5884

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

60 Calle Domingo Rubio
Arecibo, PR 00612-4473

Mailing address

PO Box 7793
Ponce, PR 00732-7793
Phone (787) 284-5884

Other names 1

  • Centro Ararat Arecibo Doing business as

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
40D2292852Centro Ararat Arecibo60 Calle Domimgo Rubio Suite 1, Arecibo, PR 00612Certificate of waiverOct 30, 2027

National Provider Directory

National Provider Directory
Tax ID family
Centro Ararat Inc7 organizations share this tax ID, including this one
Part of
Centro Ararat Inc

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567987200000",
    "number": "1699323691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7793",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327793",
            "telephone_number": "787-284-5884",
            "fax_number": "787-651-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 CALLE DOMINGO RUBIO",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124473",
            "telephone_number": "787-680-0236",
            "fax_number": "787-816-5715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO ARARAT INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRO ARARAT INC",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-09",
        "status": "A",
        "authorized_official_last_name": "MELENDEZ-RIVERA",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "787-284-5884",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centro Ararat Arecibo",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Centro Ararat Arecibo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.