NPIMap

Organization Active NPI

Policlinica la Familia de Toa Alta Inc

  • Clinic Pharmacy
  • Toa Alta, PR
National Provider Identifier
1851579155
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
12F2583 Issued in PR
Legal business name
POLICLINICA LA FAMILIA DE TOA ALTA INC
Doing business as
Policlinica la Familia de Toa Alta Inc
Practice address
Calle 10 G 12 Urb Villa Matilde
Toa Alta, PR 00953
Phone
(787) 870-7070
Fax
(787) 870-6382
NPI assigned
Feb 8, 2008
Last updated
Jun 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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

Authorized official

Name
Itza ChevresNPI 1669413720
Title
President
Phone
(787) 870-7000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 12F2583 PR Primary

Addresses

Primary practice location

Calle 10 G 12 Urb Villa Matilde
Toa Alta, PR 00953

Mailing address

PO Box 867
Toa Alta, PR 00954-0867
Phone (787) 870-7070

Other identifiers 1

IdentifierTypeStateIssuer
4026046OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • POLICLINICA LA FAMILIA DE TOA ALTA INC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Policlinica la Familia Toa Alta Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1851579155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 867",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009540867",
            "telephone_number": "787-870-7070",
            "fax_number": "787-870-6382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 10 G 12 URB VILLA MATILDE",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00953",
            "telephone_number": "787-870-7070",
            "fax_number": "787-870-6382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLICLINICA LA FAMILIA DE TOA ALTA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "CHEVRES",
        "authorized_official_first_name": "ITZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-870-7000"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "PR",
            "license": "12F2583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4026046",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POLICLINICA LA FAMILIA DE TOA ALTA INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toa Alta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.