Organization Active NPI

Mediko Red Aliado Corp

  • Case Manager/Care Coordinator
  • Gurabo, PR
National Provider Identifier
1972806115
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
MEDIKO RED ALIADO CORP
Practice address
Calle Matadero Sur # 3
Gurabo, PR 00778-7589
Phone
(787) 653-5353
Fax
(787) 653-5364
NPI assigned
Dec 9, 2010
Last updated
Nov 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

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

Authorized official

Name
Miss Carmen Santiago
Title
Gestora
Phone
(787) 653-5353

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

Calle Matadero Sur # 3
Gurabo, PR 00778-7589

Mailing address

PO Box 7589
Calle Matadero Sur # 3
Caguas, PR 00725-7589
Phone (787) 653-5353

Other names 1

  • Red Doctores Del Centro Corp Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542326400000",
    "number": "1972806115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7589",
            "address_2": "CALLE MATADERO SUR # 3",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007257589",
            "telephone_number": "787-653-5353",
            "fax_number": "787-653-5364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE MATADERO SUR # 3",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007787589",
            "telephone_number": "787-653-5353",
            "fax_number": "787-653-5364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIKO RED ALIADO CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-09",
        "last_updated": "2018-11-16",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "GESTORA",
        "authorized_official_telephone_number": "787-653-5353",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Doctores Del Centro Corp",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Gurabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; 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.