Organization Active NPI

Clinic Management Corporation of America

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1962649418
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CLINIC MANAGEMENT CORPORATION OF AMERICA
Practice address
282 Ave Jesus T Pinero
San Juan, PR 00927-3921
Phone
(787) 763-2125
NPI assigned
Jan 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Authorized official

Name
Dr. Sultan Saleh Yassin, PHARMD
Title
General Manager
Phone
(787) 598-9459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

282 Ave Jesus T Pinero
San Juan, PR 00927-3921

Mailing address

PO Box 29166
San Juan, PR 00929-0166
Phone (787) 641-3888

Other names 1

  • El Amal Health Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1962649418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29166",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009290166",
            "telephone_number": "787-641-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 AVE JESUS T PINERO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009273921",
            "telephone_number": "787-763-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC MANAGEMENT CORPORATION OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "YASSIN",
        "authorized_official_first_name": "SULTAN",
        "authorized_official_middle_name": "SALEH",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "787-598-9459",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "El Amal Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; 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.