NPIMap

Organization Active NPI

Centro Pediatrico Stacholy LLC

  • Clinic/Center
  • Isabela, PR
National Provider Identifier
1932923182
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CENTRO PEDIATRICO STACHOLY LLC
Practice address
24 Calle Coronel
Isabela, PR 00662-4800
Phone
(787) 872-1100
NPI assigned
Nov 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Authorized official

Name
Mariela Stacholy, MDNPI 1346306909
Title
Owner
Phone
(787) 872-1100

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

24 Calle Coronel
Isabela, PR 00662-4800

Mailing address

PO Box 102
San Antonio, PR 00690-0102
Phone (939) 644-1122

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1932923182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102",
            "city": "SAN ANTONIO",
            "state": "PR",
            "postal_code": "006900102",
            "telephone_number": "939-644-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 CALLE CORONEL",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006624800",
            "telephone_number": "787-872-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO PEDIATRICO STACHOLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "STACHOLY",
        "authorized_official_first_name": "MARIELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-872-1100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isabela, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.