NPIMap

Organization Active NPI

Aguada Medical Center, Inc.

  • Clinic/Center
  • Aguada, PR
National Provider Identifier
1750984183
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
AGUADA MEDICAL CENTER, INC.
Practice address
Carr. 115 KM. 24.5
Barrio Asomante
Aguada, PR 00602-0060
Phone
(787) 589-7400
Fax
(787) 589-7402
NPI assigned
Nov 18, 2020
Last updated
Nov 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Authorized official

Name
Dr. Hiram J Ortega, MD
Title
Owner
Phone
(787) 589-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

Carr. 115 KM. 24.5
Barrio Asomante
Aguada, PR 00602-0060

Mailing address

PO Box 90
Aguada, PR 00602-0090
Phone (787) 589-7400

Other names 1

  • Aguada Medical Immunization Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Aguada Medical Center Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1750984183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006020090",
            "telephone_number": "787-589-7400",
            "fax_number": "787-589-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 115 KM. 24.5",
            "address_2": "BARRIO ASOMANTE",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006020060",
            "telephone_number": "787-589-7400",
            "fax_number": "787-589-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGUADA MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-09",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "HIRAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-589-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aguada Medical Immunization Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Aguada, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.