NPIMap

Organization Active NPI

CDT Mario Canales Torresola

  • Internal Medicine Physician
  • Jayuya, PR
National Provider Identifier
1699913293
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10849 Issued in PR
Legal business name
CDT MARIO CANALES TORRESOLA
Practice address
2 Calle Cementerio
Jayuya, PR 00664-1452
Phone
(787) 828-0305
Fax
(787) 828-0901
NPI assigned
Feb 4, 2009
Last updated
Feb 4, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
CDT MARIO CANALES TORRESOLAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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

Authorized official

Name
Mrs. Wanda Zamora Ambert
Title
Administrator
Phone
(787) 828-0305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 10849 PR Primary

Addresses

Primary practice location

2 Calle Cementerio
Jayuya, PR 00664-1452

Mailing address

PO Box 488
Jayuya, PR 00664-0488
Phone (787) 828-0305

Other names 1

  • Municipio de Jayuya Other name

National Provider Directory

National Provider Directory
Tax ID family
Municipio de Jayuya5 organizations share this tax ID, including this one
Part of
Municipio de Jayuya

Other organizations with this tax ID 4

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": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1699913293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "JAYUYA",
            "state": "PR",
            "postal_code": "006640488",
            "telephone_number": "787-828-0305",
            "fax_number": "787-828-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CALLE CEMENTERIO",
            "city": "JAYUYA",
            "state": "PR",
            "postal_code": "006641452",
            "telephone_number": "787-828-0305",
            "fax_number": "787-828-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDT MARIO CANALES TORRESOLA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CDT MARIO CANALES TORRESOLA",
        "enumeration_date": "2009-02-04",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "AMBERT",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "ZAMORA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-828-0305",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "10849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Municipio de Jayuya",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jayuya, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.