NPIMap

Organization Active NPI

Centro de Diagnostico Y Tratamiento de San Sebastian Inc

Doing business as Servicios Preventivos de Salud de Mayaguez

  • Public Health & General Preventive Medicine Physician
  • Mayaguez, PR
National Provider Identifier
1700498557
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
Legal business name
CENTRO DE DIAGNOSTICO Y TRATAMIENTO DE SAN SEBASTIAN INC
Doing business as
Servicios Preventivos de Salud de Mayaguez
Practice address
25 Calle Mendez Vigo W
Mayaguez, PR 00680-6756
Phone
(787) 896-1850
Fax
(787) 280-9497
NPI assigned
Aug 21, 2020
Last updated
Aug 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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

Authorized official

Name
Eduardo Rodriguez, MD
Title
President
Phone
(787) 896-1850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0901X Primary

Addresses

Primary practice location

25 Calle Mendez Vigo W
Mayaguez, PR 00680-6756

Mailing address

PO Box 486
San Sebastian, PR 00685-0486
Phone (787) 896-1850

Other names 1

  • SERVICIOS PREVENTIVOS DE SALUD DE MAYAGUEZ Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Centro de Medicina Y Ci9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597968000000",
    "number": "1700498557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 486",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006850486",
            "telephone_number": "787-896-1850",
            "fax_number": "787-280-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CALLE MENDEZ VIGO W",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006806756",
            "telephone_number": "787-896-1850",
            "fax_number": "787-280-9497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE DIAGNOSTICO Y TRATAMIENTO DE SAN SEBASTIAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-21",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-896-1850",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SERVICIOS PREVENTIVOS DE SALUD DE MAYAGUEZ",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; 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.