NPIMap

Organization Active NPI

Centro Medico Dos Palmas Inc

  • Primary Care Clinic/Center
  • Toa Baja, PR
National Provider Identifier
1699366872
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CENTRO MEDICO DOS PALMAS INC
Practice address
1443 Ave. Boulevard
Levitown
Toa Baja, PR 00949
Phone
(787) 795-1165
Fax
(787) 795-1165
NPI assigned
Jan 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Authorized official

Name
Ms. Aranzazu Morales
Title
VP, Administrator
Phone
(787) 975-6807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1443 Ave. Boulevard
Levitown
Toa Baja, PR 00949

Mailing address

1443 Ave. Boulevard
Levitown
Toa Baja, PR 00949
Phone (787) 795-1165

Other identifiers 1

IdentifierTypeStateIssuer
037793100MedicaidPR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drmoralesfragoso@direct.practicefusion.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

1443 Blvd Trio Los Andinos
Toa Baja, PR 00949
Phone (787) 795-1165

NPI Registry JSON

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633651200000",
    "number": "1699366872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1443 AVE. BOULEVARD",
            "address_2": "LEVITOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-795-1165",
            "fax_number": "787-795-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1443 AVE. BOULEVARD",
            "address_2": "LEVITOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-795-1165",
            "fax_number": "787-795-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO MEDICO DOS PALMAS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "ARANZAZU",
        "authorized_official_title_or_position": "VP, ADMINISTRATOR",
        "authorized_official_telephone_number": "787-975-6807",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037793100",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drmoralesfragoso@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1443 AVE. BOULEVARD",
            "address_2": "LEVITOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toa Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.