Organization Active NPI

Centro Polimenonita de Coamo

  • Health Maintenance Organization
  • Coamo, PR
National Provider Identifier
1962541565
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
CENTRO POLIMENONITA DE COAMO
Practice address
Calle Mario Brashi No. 13
Coamo, PR 00769
Phone
(787) 825-9237
Fax
(787) 825-7713
NPI assigned
Feb 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jose R. Colon, CMA, MBA
Title
Accountant
Phone
(787) 825-9237

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X PR Primary

Addresses

Primary practice location

Calle Mario Brashi No. 13
Coamo, PR 00769

Mailing address

Carr. 702 #5
Coamo, PR 00769
Phone (787) 825-9237

National Provider Directory

National Provider Directory
Tax ID family
Centro Polimenonita de Coamo2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962541565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARR. 702 #5",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "00769",
            "telephone_number": "787-825-9237",
            "fax_number": "787-825-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE MARIO BRASHI NO. 13",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "00769",
            "telephone_number": "787-825-9237",
            "fax_number": "787-825-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO POLIMENONITA DE COAMO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLON",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "787-825-9237",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CMA, MBA"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coamo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.