Organization Active NPI

Clinica Cuidado Medico Inc

  • Pharmacy
  • Ciales, PR
National Provider Identifier
1750409389
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
CLINICA CUIDADO MEDICO INC
Practice address
4 Calle Hospital
Ciales, PR 00638-3310
Phone
(787) 871-1098
Fax
(787) 871-4883
NPI assigned
Mar 26, 2007
Reactivated
Feb 10, 2015
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Jorge D. Jimenez, M.D.
Title
President
Phone
(787) 871-1098

Corporate family (same tax ID) 2

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

National Provider Directory

National Provider Directory
Tax ID family
Clinica Cuidado Medico Inc (3 organizations share this tax ID)

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 04F1945 PR
Pharmacy 333600000X Primary

Addresses

NPPES NPI Registry

Primary practice location

4 Calle Hospital
Ciales, PR 00638-3310

Mailing address

PO Box 1347
Ciales, PR 00638-1347
Phone (787) 871-1098

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 18, 2015.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424217600000",
    "number": "1750409389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1347",
            "city": "CIALES",
            "state": "PR",
            "postal_code": "006381347",
            "telephone_number": "787-871-1098",
            "fax_number": "787-871-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CALLE HOSPITAL",
            "city": "CIALES",
            "state": "PR",
            "postal_code": "006383310",
            "telephone_number": "787-871-1098",
            "fax_number": "787-871-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA CUIDADO MEDICO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2015-02-18",
        "deactivation_date": "2012-04-05",
        "reactivation_date": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-871-1098",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": "04F1945",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ciales, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; 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.