Organization Active NPI

Centro Neumologico del Este CSP

  • Pulmonary Disease Physician
  • Fajardo, PR
National Provider Identifier
1851495220
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
CENTRO NEUMOLOGICO DEL ESTE CSP
Practice address
Av. General Valero KM. 2.6 Carr.194 Edificio 404
Fajardo, PR 00738
Phone
(787) 860-4224
Fax
(787) 860-4224
NPI assigned
Sep 7, 2006
Last updated
Apr 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

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

Authorized official

Name
Mr. Dimas Ferrer, MD
Title
President
Phone
(787) 860-4224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X NU Primary

Addresses

Primary practice location

Av. General Valero KM. 2.6 Carr.194 Edificio 404
Fajardo, PR 00738

Mailing address

PO Box 13543
San Juan, PR 00908-3543
Phone (787) 860-4224

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080910000443 PR Part B Supplier - Clinic/Group Practice 0749356012 Receives reassigned benefits from 1 practitioner
Practice locations: Fajardo, PR

National Provider Directory

National Provider Directory

Locations

404 Ave General Valero
Ste 10
Fajardo, PR 00738
Phone (787) 860-4224

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1851495220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13543",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009083543",
            "telephone_number": "787-860-4224",
            "fax_number": "787-860-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AV. GENERAL VALERO KM. 2.6 CARR.194 EDIFICIO 404",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-860-4224",
            "fax_number": "787-860-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO NEUMOLOGICO DEL ESTE CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "FERRER",
        "authorized_official_first_name": "DIMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-860-4224",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; 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.