NPIMap

Organization Active NPI

Policlinica del Atlantico

  • Clinic/Center
  • Isabela, PR
National Provider Identifier
1760638555
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1149 Issued in PR
Legal business name
POLICLINICA DEL ATLANTICO
Practice address
Carr. #2 K.M. 111.2
Bo. Mora
Isabela, PR 00662
Phone
(787) 830-7737
Fax
(787) 830-7839
NPI assigned
Aug 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Dr. Adrian Girald IV, M.D.
Title
President
Phone
(787) 830-7737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 1149 PR Primary

Addresses

Primary practice location

Carr. #2 K.M. 111.2
Bo. Mora
Isabela, PR 00662

Mailing address

PMB 226
PO Box 80,000
Isabela, PR 00662
Phone (787) 830-7737

Other identifiers 1

IdentifierTypeStateIssuer
1149MedicaidPR

National Provider Directory

National Provider Directory
Tax ID family
Policlinica del Atlantico5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1760638555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 226",
            "address_2": "PO BOX 80,000",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "00662",
            "telephone_number": "787-830-7737",
            "fax_number": "787-830-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. #2 K.M. 111.2",
            "address_2": "BO. MORA",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "00662",
            "telephone_number": "787-830-7737",
            "fax_number": "787-830-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLICLINICA DEL ATLANTICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "GIRALD",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-830-7737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": "1149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1149",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Isabela, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.