NPIMap

Organization Active NPI

Centro de Diabetes Para PR

  • Psychologist
  • Rio Piedras, PR
National Provider Identifier
1730407222
Registry record updated May 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
CENTRO DE DIABETES PARA PR
Practice address
Primer Piso Edif Decanato de Farmacia Centro Medico
Rio Piedras, PR 00936-8344
Phone
(787) 773-8283
Fax
(787) 773-8303
NPI assigned
May 10, 2010
Last updated
May 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2010

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

Authorized official

Name
Mr. Jorge M De Jesus, MHSA
Title
Ezecutive Director
Phone
(787) 778-8283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

Primer Piso Edif Decanato de Farmacia Centro Medico
Rio Piedras, PR 00936-8344

Mailing address

PO Box 70344
San Juan, PR 00936-8344
Phone (787) 773-8283

National Provider Directory

National Provider Directory
Tax ID family
Centro de Diabetes Para PR3 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.

NPI Registry JSON

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273449600000",
    "number": "1730407222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70344",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009368344",
            "telephone_number": "787-773-8283",
            "fax_number": "787-773-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PRIMER PISO EDIF DECANATO DE FARMACIA CENTRO MEDICO",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009368344",
            "telephone_number": "787-773-8283",
            "fax_number": "787-773-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE DIABETES PARA PR",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-10",
        "last_updated": "2010-05-10",
        "status": "A",
        "authorized_official_last_name": "DE JESUS",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EZECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-778-8283",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHSA"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; 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.