Organization Active NPI

CDT Rivera Labarca

  • Medical Specialty Clinic/Center
  • Barceloneta, PR
National Provider Identifier
1700834629
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
85 Issued in PR
Legal business name
CDT RIVERA LABARCA
Practice address
1 Calle Tomas Davila
Barceloneta, PR 00617-2736
Phone
(787) 846-6890
Fax
(787) 846-5458
NPI assigned
May 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Yonathan Rivera Jimenez
Title
Administrator
Phone
(787) 846-6890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 85 PR Primary

Addresses

Primary practice location

1 Calle Tomas Davila
Barceloneta, PR 00617-2736

Mailing address

PO Box 359
Barceloneta, PR 00617-0359
Phone (787) 846-6890

Other identifiers 1

IdentifierTypeStateIssuer
85OtherPRSTATE LICENSE

National Provider Directory

National Provider Directory
Tax ID family
CDT Rivera Labarca2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700834629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 359",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "006170359",
            "telephone_number": "787-846-6890",
            "fax_number": "787-846-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CALLE TOMAS DAVILA",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "006172736",
            "telephone_number": "787-846-6890",
            "fax_number": "787-846-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDT RIVERA LABARCA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIVERA JIMENEZ",
        "authorized_official_first_name": "YONATHAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-846-6890",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PR",
            "license": "85",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "85",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barceloneta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.