Organization Active NPI

Municipio de Las Piedras

  • Emergency Care Clinic/Center
  • Las Piedras, PR
National Provider Identifier
1780940528
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
License
28 Issued in PR
Legal business name
MUNICIPIO DE LAS PIEDRAS
Practice address
Carr 198 KM 22.2
Bo. Montones 1
Las Piedras, PR 00771
Phone
(787) 733-8969
Fax
(787) 716-0055
NPI assigned
Apr 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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

Authorized official

Name
Mrs. Lourdes Martinez
Title
Administrator
Phone
(787) 733-8969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X 28 PR Primary

Addresses

Primary practice location

Carr 198 KM 22.2
Bo. Montones 1
Las Piedras, PR 00771

Mailing address

PO Box 68
Las Piedras, PR 00771-0068
Phone (787) 733-8969

Other identifiers 2

IdentifierTypeStateIssuer
12-023OtherPRCNC
28OtherPRLIC

Other names 1

  • CDT Las Piedras Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201118001375 PR Part B Supplier - Clinic/Group Practice 4688825359 Receives reassigned benefits from 1 practitioner
Practice locations: Las Piedras, PR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Municipio de Las Piedras4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the 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": "1333584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1780940528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007710068",
            "telephone_number": "787-733-8969",
            "fax_number": "787-716-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 198 KM 22.2",
            "address_2": "BO. MONTONES 1",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "00771",
            "telephone_number": "787-733-8969",
            "fax_number": "787-716-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNICIPIO DE LAS PIEDRAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-05",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-733-8969",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "PR",
            "license": "28",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNC",
            "identifier": "12-023",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC",
            "identifier": "28",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CDT Las Piedras",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Piedras, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.