Clinica Medicina Preventiva C.P.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CLINICA MEDICINA PREVENTIVA C.P.

Practice address

1801 Ave Ponce de Leon
Santurce Medical Mall Suite 101 B
San Juan, PR 00909

Phone

(787) 728-6093

Fax

(787) 230-0988

NPI assigned

Mar 29, 2019

Last updated

Mar 29, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lourdes M Vazquez Otero, MD

Title

President

Phone

(787) 728-6093

Specialties & licenses 1

Addresses

Locations

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.

• Lourdes Vazquez, MD

  • General Practice Physician
  • San Juan, PR
  • NPI 1396788477
  NPD
• Jose Manuel Gomez Vazquez, MD

  • General Practice Physician
  • Santurce, PR
  • NPI 1467916783
  NPD (past)

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553817600000",
    "number": "1881155976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367083",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009367083",
            "telephone_number": "787-728-6093",
            "fax_number": "787-230-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 AVE PONCE DE LEON",
            "address_2": "SANTURCE MEDICAL MALL SUITE 101 B",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00909",
            "telephone_number": "787-728-6093",
            "fax_number": "787-230-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA MEDICINA PREVENTIVA C.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-03-29",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ OTERO",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-728-6093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinica Las Americas Guaynabo (Salus Hato Rey)
• Clinica Las Americas Guaynabo, Inc (Centro Preventivo Hato Rey)
• Clinica Las Americas Guaynabo, Inc (S@W Telemedicine)
• Clinica Las Americas Guaynabo, Inc (Salus @ Work SSS)
• Clinica Medicina Conductual Inc.
• Clinica Ninos Y Adolescentes
• Clinica Pediatrica de Terepia, Inc.
• Clinica Podiatrica Dr Escalona PSC
• Clinica Podiatrica Oppenheimer
• Clinica Psicoalternativas

• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.