Cdva Corp

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

18-B-6816 Issued in PR

Legal business name

CDVA CORP

Practice address

Carr 149 KM 58.3 Marginal 118a
Sector Jagueyes
Villalba, PR 00766

Phone

(787) 569-3646

NPI assigned

Aug 29, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Tensy L Cintron, MT

Title

Owner

Phone

(787) 344-9800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472428800000",
    "number": "1841746997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARR 149 KM 58.3 MARGINAL 118A",
            "address_2": "SECTOR JAGUEYES",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "00766",
            "telephone_number": "787-569-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 149 KM 58.3 MARGINAL 118A",
            "address_2": "SECTOR JAGUEYES",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "00766",
            "telephone_number": "787-569-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDVA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-29",
        "last_updated": "2016-08-29",
        "status": "A",
        "authorized_official_last_name": "CINTRON",
        "authorized_official_first_name": "TENSY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-344-9800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "PR",
            "license": "18-B-6816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Idalia Bonilla, LCDA
• Jesmarie Bonilla, MSW
• Thelmarie Bula
• Noralys Camacho
• Karilyn Cardona
• Centro de Pediatria Y Medicina de Familia de Villalba, CSP
• Centro de Recuperacion del Caribe
• Centro Visual Dr Kelvin Ortiz PSC
• CFT Multi Services LLC
• Clinica Dr Marrero LLC

• Health Maintenance Organization in Villalba, PR
• Providers in Villalba, PR by specialty
• Health Maintenance Organization in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; 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.