NPIMap

Organization Active NPI

Centro de Medicina Pediatrica del Norte

  • Medical Specialty Clinic/Center
  • Lares, PR
National Provider Identifier
1811286263
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
9721 Issued in PR
Legal business name
CENTRO DE MEDICINA PEDIATRICA DEL NORTE
Practice address
PMB 513 Box 819
Lares, PR 00669
Phone
(787) 203-5558
Fax
(787) 897-2521
NPI assigned
Apr 6, 2011
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Willie Nelson Malave, M.D.
Title
President
Phone
(787) 203-5558

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 9721 PR Primary

Addresses

NPPES NPI Registry

Primary practice location

PMB 513 Box 819
Lares, PR 00669

Mailing address

PMB 513 Box 819
Lares, PR 00669
Phone (787) 203-5558

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 6, 2011.

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1811286263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 513 BOX 819",
            "city": "LARES",
            "state": "PR",
            "postal_code": "00669",
            "telephone_number": "787-203-5558",
            "fax_number": "787-897-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PMB 513 BOX 819",
            "city": "LARES",
            "state": "PR",
            "postal_code": "00669",
            "telephone_number": "787-203-5558",
            "fax_number": "787-897-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE MEDICINA PEDIATRICA DEL NORTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "MALAVE",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-203-5558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PR",
            "license": "9721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lares, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.