Centro de Cuidados Preventivos Las Vegas LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CENTRO DE CUIDADOS PREVENTIVOS LAS VEGAS LLC

Practice address

Carretera 688 Barrio Sabana 377
Vega Alta, PR 00692

Phone

(787) 369-6210

NPI assigned

May 19, 2023

Last updated

May 22, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Oscar Oliver

Title

Presidente

Phone

(787) 318-3395

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

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.

• Clarissa Nazario Aviles, M.D.

  • General Practice Physician
  • Vega Baja, PR
  • NPI 1255385977
  Medicare reassignment NPD

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1952092983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 CALLE REAL PALM DR",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006929014",
            "telephone_number": "787-318-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 688 BARRIO SABANA 377",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "00692",
            "telephone_number": "787-369-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE CUIDADOS PREVENTIVOS LAS VEGAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-318-3395"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CDT Centro de Medicina Primaria de Vega Alta Corp
• CDT Centro de Medicina Primaria de Vega Alta Corp
• Gustavo Cedeno, M.D.
• Centro Ashtar de Terapia Fisica
• Centro Clinico de Vega Alta Corp
• Centro de Imagen
• Centro de Medicina Primaria VA
• Centro de Medicina Primaria VA
• Centro de Vacunacion del Norte LLC
• Centro Dr. Edwin F. Girau Nieves

• Primary Care Clinic/Center in Vega Alta, PR
• Providers in Vega Alta, PR by specialty
• Primary Care Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.