Organization Active NPI

Centro Vacunacion Dr Reyes Cabeza

  • Clinic/Center
  • Ponce, PR
National Provider Identifier
1962628909
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
8809 Issued in PR
Legal business name
CENTRO VACUNACION DR REYES CABEZA
Practice address
Urb. San Antonio 539
Ramal Carr 2
Ponce, PR 00728-0000
Phone
(787) 842-8945
Fax
(787) 290-4472
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Authorized official

Name
Dr. Victor Reyes Cabeza, MD
Title
President
Phone
(787) 842-8945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 8809 PR Primary

Addresses

Primary practice location

Urb. San Antonio 539
Ramal Carr 2
Ponce, PR 00728-0000

Mailing address

1575 Ave Munoz Rivera PMB 281
Ponce, PR 00717-0211
Phone (787) 842-8945

Other practice location 1

1800 Carr 14 Ste 114
Coto Laurel, PR 00780-2163
Phone (787) 842-8945

Other identifiers 1

IdentifierTypeStateIssuer
10529OtherPRTRIPLE S

Other names 1

  • POLICLINICA LAS AMERICAS MEDICAL CENTER INC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Policlinica Las Americas Medical Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1800 Carr 14
Ste 114
Coto Laurel, PR 00780

539 Carr Guayanilla
Ponce, PR 00717

539 Carr Guayanilla
#2
Ponce, PR 00717

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1962628909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 AVE MUNOZ RIVERA PMB 281",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170211",
            "telephone_number": "787-842-8945",
            "fax_number": "787-290-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. SAN ANTONIO 539",
            "address_2": "RAMAL CARR 2",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007280000",
            "telephone_number": "787-842-8945",
            "fax_number": "787-290-4472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Carr 14 Ste 114",
            "address_purpose": "LOCATION",
            "city": "Coto Laurel",
            "state": "PR",
            "postal_code": "007802163",
            "country_code": "US",
            "telephone_number": "787-842-8945",
            "fax_number": "787-290-4472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTRO VACUNACION DR REYES CABEZA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "REYES CABEZA",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-842-8945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": "8809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "10529",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POLICLINICA LAS AMERICAS MEDICAL CENTER INC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "POLICLINICA LAS AMERICAS MEDICAL CENTER INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.