Organization Active NPI

State Insurance Fund

  • Corporate Health Clinic/Center
  • Aguadilla, PR
National Provider Identifier
1972671204
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corporate Health Clinic/CenterTaxonomy code 261QC1800X
License
5190 Issued in PR
Legal business name
STATE INSURANCE FUND
Practice address
Road #2 Km127.3 Bldng State Insurance Fund
Aguadilla, PR 00603
Phone
(787) 882-2700
NPI assigned
Dec 4, 2006
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
Dr. Juan M. Rosacardona, M.D.
Title
Medical Inspector
Phone
(787) 882-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corporate Health Clinic/Center 261QC1800X 5190 PR Primary

Addresses

Primary practice location

Road #2 Km127.3 Bldng State Insurance Fund
Aguadilla, PR 00603

Mailing address

HC 6 Box 62992
Aguadilla, PR 00603-9829

National Provider Directory

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": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972671204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 6 BOX 62992",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006039829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROAD #2 KM127.3 BLDNG STATE INSURANCE FUND",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-882-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE INSURANCE FUND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSACARDONA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MEDICAL INSPECTOR",
        "authorized_official_telephone_number": "787-882-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": "PR",
            "license": "5190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, 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.