NPIMap

Organization Active NPI

Centro Medico del Turabo Inc

Doing business as Grupo Otorrinolaringologia Avanzada

  • Otolaryngology Physician
  • Fajardo, PR
National Provider Identifier
1912040916
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
13649 Issued in PR
Legal business name
CENTRO MEDICO DEL TURABO INC
Doing business as
Grupo Otorrinolaringologia Avanzada
Practice address
Hima San Pablo Fajardo Piso 2
Ave General Valero 404
Fajardo, PR 00738
Phone
(787) 655-0505
Fax
(787) 653-2217
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Mr. Orlando Rivera, LCDO
Title
Executive Director
Phone
(787) 653-3434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 13649 PR Primary

Addresses

Primary practice location

Hima San Pablo Fajardo Piso 2
Ave General Valero 404
Fajardo, PR 00738

Mailing address

PO Box 4980
Caguas, PR 00726
Phone (787) 653-3434

Other identifiers 1

IdentifierTypeStateIssuer
$$$$$$$$$OtherPRSOCIAL SECURITY

Other names 1

  • GRUPO OTORRINOLARINGOLOGIA AVANZADA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ctro Medico del Turabo73 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 19

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1912040916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4980",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00726",
            "telephone_number": "787-653-3434",
            "fax_number": "787-961-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIMA SAN PABLO FAJARDO PISO 2",
            "address_2": "AVE GENERAL VALERO 404",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-655-0505",
            "fax_number": "787-653-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO MEDICO DEL TURABO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "ORLANDO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-653-3434",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCDO"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "PR",
            "license": "13649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY",
            "identifier": "$$$$$$$$$",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRUPO OTORRINOLARINGOLOGIA AVANZADA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 21, 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.