Active NPI
Vega Alta Community Health
- Emergency Care Clinic/Center
- Vega Alta, PR
National Provider Identifier
1730125584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Care Clinic/Center
- Legal business name
- VEGA ALTA COMMUNITY HEALTH
- Practice address
- #2 Street KM 30.1
Bo Bajuras
Vega Alta, PR 00692 - Phone
- (787) 270-2300
- Fax
- (787) 278-3331
- NPI assigned
- Jun 21, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Luis M Gonzalez Bermudez
- Title
- Director Medico
- Phone
- (787) 278-3331
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Care Clinic/Center | 261QE0002X | Primary |
Addresses
Primary practice location
#2 Street KM 30.1
Bo Bajuras
Vega Alta, PR 00692
Mailing address
PO Box 419
Vega Alta, PR 00692
Phone (787) 270-2300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Centro de Imagen
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Radiology Clinic/Center
- Vega Alta, PR
- NPI 1982913646
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Arecibo, PR
- NPI 1770732216
-
- General Practice Physician
- Hatillo, PR
- NPI 1790977163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1730125584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 419",
"city": "VEGA ALTA",
"state": "PR",
"postal_code": "00692",
"telephone_number": "787-270-2300",
"fax_number": "787-278-3331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "#2 STREET KM 30.1",
"address_2": "BO BAJURAS",
"city": "VEGA ALTA",
"state": "PR",
"postal_code": "00692",
"telephone_number": "787-270-2300",
"fax_number": "787-278-3331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VEGA ALTA COMMUNITY HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GONZALEZ BERMUDEZ",
"authorized_official_first_name": "LUIS",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DIRECTOR MEDICO",
"authorized_official_telephone_number": "787-278-3331",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "261QE0002X",
"taxonomy_group": "",
"desc": "Clinic/Center, Emergency Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vega Alta, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.