Providence Diagnostic and Medical Center Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PROVIDENCE DIAGNOSTIC AND MEDICAL CENTER INC

Practice address

1400 Calle San Rafael
San Juan, PR 00909-2693

Phone

(787) 522-5201

Fax

(787) 552-5207

NPI assigned

Oct 4, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Rafael Aslanian

Title

President

Phone

(787) 522-5201

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roberto Molina, M.D.

  • General Practice Physician
  • Ocala, FL
  • NPI 1437309044
  NPD (past)

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

{
    "created_epoch": "1254614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254614400000",
    "number": "1962737387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 CALLE SAN RAFAEL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092693",
            "telephone_number": "787-522-5201",
            "fax_number": "787-552-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 CALLE SAN RAFAEL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092693",
            "telephone_number": "787-522-5201",
            "fax_number": "787-552-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE DIAGNOSTIC AND MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-04",
        "last_updated": "2009-10-04",
        "status": "A",
        "authorized_official_last_name": "ASLANIAN",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-522-5201",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in San Juan, PR
• Providers in San Juan, PR by specialty
• Multi-Specialty Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.