Organization Active NPI

Nabori Corp

  • Developmental Therapist
  • Dorado, PR
National Provider Identifier
1972201218
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Legal business name
NABORI CORP
Practice address
Brighton Country Club
F-4 Brighton Boulevard
Dorado, PR 00646-0064
Phone
(813) 696-6124
NPI assigned
Feb 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Authorized official

Name
Lilliam VegaNPI 1134873771
Title
Dr./President
Phone
(813) 696-6124

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 222Q00000X Primary

Addresses

Primary practice location

Brighton Country Club
F-4 Brighton Boulevard
Dorado, PR 00646-0064

Mailing address

PO Box 364094
San Juan, PR 00936-4094
Phone (813) 696-6124

Other names 1

  • NABORI Corp Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Nabori Corp2 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.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1972201218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 364094",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009364094",
            "telephone_number": "813-696-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BRIGHTON COUNTRY CLUB",
            "address_2": "F-4 BRIGHTON BOULEVARD",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006460064",
            "telephone_number": "813-696-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NABORI CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "VEGA",
        "authorized_official_first_name": "LILLIAM",
        "authorized_official_title_or_position": "DR./PRESIDENT",
        "authorized_official_telephone_number": "813-696-6124"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NABORI Corp",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Dorado, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.