NPIMap

Organization Active NPI

Centro de Medicina Integral de Manati Inc

  • Federal Public Health Clinic/Center
  • Manati, PR
National Provider Identifier
1720174014
Registry record updated Oct 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federal Public Health Clinic/CenterTaxonomy code 261QP0904X
Legal business name
CENTRO DE MEDICINA INTEGRAL DE MANATI INC
Practice address
Bo. Cotto #77 Urbanizacion Felix Cordova Davila
Manati, PR 00674
Phone
(787) 854-0824
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2013

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

Authorized official

Name
Mrs. Maribel Rodriguez Romanacce
Title
Administradora
Phone
(787) 884-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federal Public Health Clinic/Center 261QP0904X Primary

Addresses

Primary practice location

Bo. Cotto #77 Urbanizacion Felix Cordova Davila
Manati, PR 00674

Mailing address

PO Box 4317
Vega Baja, PR 00694-4317
Phone (787) 854-0824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140522000871 PR Part B Supplier - Clinic/Group Practice 2062635980 Receives reassigned benefits from 10 practitioners
Practice locations: Manati, PR

National Provider Directory

National Provider Directory
Tax ID family
Centro de Medicina Integral de Manati3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

77 Calle Felix Cordova Davila
Manati, PR 00674
Phone (787) 884-4700

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381449600000",
    "number": "1720174014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4317",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006944317",
            "telephone_number": "787-854-0824",
            "fax_number": "787-884-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO. COTTO #77 URBANIZACION FELIX CORDOVA DAVILA",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-854-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE MEDICINA INTEGRAL DE MANATI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2013-10-11",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ ROMANACCE",
        "authorized_official_first_name": "MARIBEL",
        "authorized_official_title_or_position": "ADMINISTRADORA",
        "authorized_official_telephone_number": "787-884-4700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP0904X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, Federal",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.