NPIMap

Organization Active NPI

Morovis Community Health Center, Inc.

  • Clinic/Center
  • Toa Baja, PR
National Provider Identifier
1831750967
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MOROVIS COMMUNITY HEALTH CENTER, INC.
Practice address
Bo Candelaria Sector Pajaros
PR 863 KM 1.0
Toa Baja, PR 00949
Phone
(787) 862-3000
Fax
(787) 862-2731
NPI assigned
Jun 28, 2019
Last updated
Jun 28, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
MOROVIS COMMUNITY HEALTH CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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

Authorized official

Name
Lirio Antonia Diaz
Title
Offcial Administration
Phone
(787) 862-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

Bo Candelaria Sector Pajaros
PR 863 KM 1.0
Toa Baja, PR 00949

Mailing address

PO Box 518
Morovis, PR 00687-0518
Phone (787) 862-3000

Other names 1

  • Centro de Medina Primaria 330 Toa Baja - MCHC Vaccines Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050303000840 PR Part B Supplier - Clinic/Group Practice 0648224501 Receives reassigned benefits from 40 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Morovis, PR; Toa Baja, PR; Vega Alta, PR

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Morovis Communhealth Cter15 organizations share this tax ID, including this one
Part of
Morovis Communhealth Cter

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Practitioners & affiliated clinicians

Practitioners 2

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": "1561680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561680000000",
    "number": "1831750967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 518",
            "city": "MOROVIS",
            "state": "PR",
            "postal_code": "006870518",
            "telephone_number": "787-862-3000",
            "fax_number": "787-862-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO CANDELARIA SECTOR PAJAROS",
            "address_2": "PR 863 KM 1.0",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-862-3000",
            "fax_number": "787-862-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOROVIS COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOROVIS COMMUNITY HEALTH CENTER, INC.",
        "enumeration_date": "2019-06-28",
        "last_updated": "2019-06-28",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "LIRIO",
        "authorized_official_middle_name": "ANTONIA",
        "authorized_official_title_or_position": "OFFCIAL ADMINISTRATION",
        "authorized_official_telephone_number": "787-862-3000"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centro de Medina Primaria 330 Toa Baja - MCHC Vaccines",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Toa Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; 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.