CDT Hormigueros Preventive Medicine, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

32 Issued in PR

Legal business name

CDT HORMIGUEROS PREVENTIVE MEDICINE, INC

Practice address

2 Munoz Marin Street
Hormigueros, PR 00660-0000

Phone

(787) 935-7103

Fax

(787) 935-7301

NPI assigned

Oct 26, 2012

Last updated

Oct 26, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jimmy Olivera Jaume

Title

Administrator

Phone

(787) 484-8273

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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.

• Juan Saturino Robles Sr., MD

  • General Practice Physician
  • San Sebastian, PR
  • NPI 1407825524
  NPD (past)

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1821342957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1550",
            "city": "HORMIGUEROS",
            "state": "PR",
            "postal_code": "006605550",
            "telephone_number": "787-935-7103",
            "fax_number": "787-935-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MUNOZ MARIN STREET",
            "city": "HORMIGUEROS",
            "state": "PR",
            "postal_code": "006600000",
            "telephone_number": "787-935-7103",
            "fax_number": "787-935-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDT HORMIGUEROS PREVENTIVE MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "OLIVERA JAUME",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-484-8273",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "32",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCIA DE LABORATORIO",
            "identifier": "32",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCIA DE CLIA",
            "identifier": "40D2036452",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Simon Enrique Carlo, M.D.
• Jose A Carrero, MD
• Yolanda Casiano, D.M.D.
• CDT Hormigueros Preventive Medicine, Inc
• CDT Hormigueros Preventive Medicine, Inc
• CDT Hormigueros Preventive Medicine,Inc
• Centro de Medicina Interna del Oeste, CSP
• Centro de Servicios Psicoeducativos del Oeste, Inc.
• Centro de Vacunacion Municipal
• Clinica Control de Peso de Hormigueros, Inc.

• Clinical Medical Laboratory in Hormigueros, PR
• Providers in Hormigueros, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.