NPIMap

Organization Active NPI

Ciudad Universitaria Medical, C.S.P.

  • General Practice Physician
  • Trujillo Alto, PR
National Provider Identifier
1780963546
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16514 Issued in PR
Legal business name
CIUDAD UNIVERSITARIA MEDICAL, C.S.P.
Practice address
Ave Aa D 14 Ciudad Universitaria
Trujillo Alto, PR 00977
Phone
(787) 755-5515
NPI assigned
Aug 11, 2011
Last updated
Aug 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2011

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

Authorized official

Name
Dr. Hiram Pabon, MD
Title
MD
Phone
(787) 412-6241

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X 16514 PR Primary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X 15712 PR

Addresses

Primary practice location

Ave Aa D 14 Ciudad Universitaria
Trujillo Alto, PR 00977

Mailing address

PO Box 3185
Carolina, PR 00984-3185
Phone (787) 755-5515

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1780963546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3185",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009843185",
            "telephone_number": "787-755-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE AA D 14 CIUDAD UNIVERSITARIA",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00977",
            "telephone_number": "787-755-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIUDAD UNIVERSITARIA MEDICAL, C.S.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-11",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "PABON",
        "authorized_official_first_name": "HIRAM",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "787-412-6241",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "16514",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "15712",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trujillo Alto, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; 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.