NPIMap

Organization Active NPI

Centro Ponceno de Autismo

Doing business as Corporacion para el desarrollo del Centro Ponceno de Autismo

  • Pediatric Neurodevelopmental Disabilities Physician
  • Ponce, PR
National Provider Identifier
1891091047
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Neurodevelopmental Disabilities PhysicianTaxonomy code 2080P0008X
Legal business name
CENTRO PONCENO DE AUTISMO
Doing business as
Corporacion para el desarrollo del Centro Ponceno de Autismo
Practice address
120 Calle Sol
Ponce, PR 00730-4881
Phone
(787) 284-2900
NPI assigned
Feb 7, 2011
Last updated
Nov 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Authorized official

Name
Dr. Laura M. Deliz, PSYDNPI 1376781211
Title
Director
Phone
(787) 284-2900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X NU
Pediatric Neurodevelopmental Disabilities Physician 2080P0008X NU Primary

Addresses

Primary practice location

120 Calle Sol
Ponce, PR 00730-4881

Mailing address

120 Calle Sol
Ponce, PR 00730-4881
Phone (787) 284-2900

Other names 1

  • Corporacion para el desarrollo del Centro Ponceno de Autismo Doing business as

National Provider Directory

National Provider Directory

Locations

120 Calle Sol
Ponce, PR 00730
Phone (787) 284-2900

Practitioners & affiliated clinicians

Practitioners 10

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": "1297036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1891091047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CALLE SOL",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007304881",
            "telephone_number": "787-284-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CALLE SOL",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007304881",
            "telephone_number": "787-284-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO PONCENO DE AUTISMO",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-07",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "DELIZ",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-284-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corporacion para el desarrollo del Centro Ponceno de Autismo",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Corporacion para el desarrollo del Centro Ponceno de Autismo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.