Organization Active NPI

Navarro Medical & Aesthetics LLC

  • Primary Care Clinic/Center
  • Moca, PR
National Provider Identifier
1740868538
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
NAVARRO MEDICAL & AESTHETICS LLC
Practice address
Carr 111 KM 11.5
Edificio Plaza Quintana Bo. Cap
Moca, PR 00676
Phone
(787) 236-1553
NPI assigned
Apr 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Jackeline Navarro
Title
President
Phone
(787) 236-0582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

Carr 111 KM 11.5
Edificio Plaza Quintana Bo. Cap
Moca, PR 00676

Mailing address

HC 2 Box 120697
Moca, PR 00676-8369
Phone (787) 236-1553

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211206000027 PR Part B Supplier - Clinic/Group Practice 0244620367 Receives reassigned benefits from 1 practitioner
Practice locations: Moca, PR

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1740868538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 120697",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006768369",
            "telephone_number": "787-236-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 111 KM 11.5",
            "address_2": "EDIFICIO PLAZA QUINTANA BO. CAP",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "00676",
            "telephone_number": "787-236-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVARRO MEDICAL & AESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-01",
        "last_updated": "2022-07-21",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "NAVARRO",
        "authorized_official_first_name": "JACKELINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-236-0582"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moca, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.