Organization Active NPI

Centro Puma

  • Specialist
  • Aibonito, PR
National Provider Identifier
1922075688
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CENTRO PUMA
Practice address
51 Calle Geronimo Martinez
Aibonito, PR 00705-3661
Phone
(787) 735-7215
Fax
(787) 735-1804
NPI assigned
Mar 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Authorized official

Name
Mrs. Ivette L Ortiz
Title
Administrator
Phone
(787) 735-7215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

51 Calle Geronimo Martinez
Aibonito, PR 00705-3661

Mailing address

PO Box 413
Aibonito, PR 00705-0413
Phone (787) 735-7215

National Provider Directory

National Provider Directory

Locations

51 Calle Geronimo Martinez
Aibonito, PR 00705
Phone (787) 735-7215

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1922075688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 413",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007050413",
            "telephone_number": "787-735-7215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 CALLE GERONIMO MARTINEZ",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007053661",
            "telephone_number": "787-735-7215",
            "fax_number": "787-735-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO PUMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-02",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "IVETTE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-735-7215",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 8, 2022; 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.