Active NPI
Vital-Care Medical Center L.L.C.
- Multi-Specialty Clinic/Center
- Aibonito, PR
National Provider Identifier
1881083848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- VITAL-CARE MEDICAL CENTER L.L.C.
- Practice address
- Carretera 14 KM 49
Las Delicias
Aibonito, PR 00705 - Phone
- (787) 954-7777
- Fax
- (787) 535-9394
- NPI assigned
- Jan 14, 2015
- Last updated
- Oct 14, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David A Afanador
- Title
- Administrator
- Phone
- (787) 954-7777
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Adult Development & Aging Psychologist | 103TA0700X | |||
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Clinical Psychologist | 103TC0700X | |||
| Counseling Psychologist | 103TC1900X | |||
| Clinical Child & Adolescent Psychologist | 103TC2200X | |||
| Group Psychotherapy Psychologist | 103TP2701X | |||
| Family Medicine Physician | 207Q00000X | |||
| Gastroenterology Physician | 207RG0100X | |||
| Colon & Rectal Surgery Physician | 208C00000X | |||
| General Practice Physician | 208D00000X | |||
| Clinic/Center | 261Q00000X | |||
| Ambulatory Surgical Clinic/Center | 261QA1903X | |||
| Endoscopy Clinic/Center | 261QE0800X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
Carretera 14 KM 49
Las Delicias
Aibonito, PR 00705
Mailing address
PO Box 399
Aibonito, PR 00705-0399
Phone (787) 954-7777
Other practice location 1
73 Calle Santa Cruz Ste 401
Bayamon, PR 00961-6942
Phone (787) 961-3222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 037405000 | Medicaid | PR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
73 Calle Santa Cruz
Ste 401
Bayamon, PR 00961
Phone (787) 778-0329
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- General Practice Physician
- Aibonito, PR
- NPI 1679540454
-
- Gastroenterology Physician
- Coto Laurel, PR
- NPI 1770543514
-
- Clinical Psychologist
- Aibonito, PR
- NPI 1679067938
-
- General Practice Physician
- San Juan, PR
- NPI 1700093036
-
- Internal Medicine Physician
- Bayamon, PR
- NPI 1447228499
-
- Neurology Physician
- Bayamon, PR
- NPI 1205032604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728864000000",
"number": "1881083848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 399",
"city": "AIBONITO",
"state": "PR",
"postal_code": "007050399",
"telephone_number": "787-954-7777",
"fax_number": "787-535-9394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARRETERA 14 KM 49",
"address_2": "LAS DELICIAS",
"city": "AIBONITO",
"state": "PR",
"postal_code": "00705",
"telephone_number": "787-954-7777",
"fax_number": "787-535-9394"
}
],
"practiceLocations": [
{
"address_1": "73 Calle Santa Cruz Ste 401",
"address_purpose": "LOCATION",
"city": "Bayamon",
"state": "PR",
"postal_code": "009616942",
"country_code": "US",
"telephone_number": "787-961-3222",
"fax_number": "787-961-3112",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "VITAL-CARE MEDICAL CENTER L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-14",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A",
"authorized_official_last_name": "AFANADOR",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "787-954-7777"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Adult Development & Aging",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Group Psychotherapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Colon & Rectal Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QE0800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Endoscopy",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "037405000",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aibonito, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.