NPIMap

Organization Active NPI

Programa Cuidado Integral del Sida

  • Clinic/Center
  • Humacao, PR
National Provider Identifier
1942641154
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
15F2515 Issued in PR
Legal business name
PROGRAMA CUIDADO INTEGRAL DEL SIDA
Practice address
355 Calle Font Martelo
Humacao, PR 00791-3249
Phone
(787) 852-0768
Fax
(787) 656-0735
NPI assigned
Jul 16, 2013
Last updated
Jul 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Authorized official

Name
Mr. Jose R Feliciano-Sepulveda, MHSA
Title
Ejecutive Director
Phone
(787) 852-0768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 15F2515 PR Primary

Addresses

Primary practice location

355 Calle Font Martelo
Humacao, PR 00791-3249

Mailing address

PO Box 859
Humacao, PR 00792-0859
Phone (787) 852-0768

Other identifiers 1

IdentifierTypeStateIssuer
0436140001OtherPRMEDICARE

National Provider Directory

National Provider Directory
Tax ID family
Farmacia Centro Ryder San Lorenzo12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1942641154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 859",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007920859",
            "telephone_number": "787-852-0768",
            "fax_number": "787-656-0735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 CALLE FONT MARTELO",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913249",
            "telephone_number": "787-852-0768",
            "fax_number": "787-656-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRAMA CUIDADO INTEGRAL DEL SIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "FELICIANO-SEPULVEDA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EJECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-852-0768",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHSA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": "15F2515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0436140001",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.