Organization Active NPI

Centro Medicina Interna Y Vascular de Puerto Rico

  • Medical Specialty Clinic/Center
  • Guaynabo, PR
National Provider Identifier
1982777892
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
10812 Issued in PR
Legal business name
CENTRO MEDICINA INTERNA Y VASCULAR DE PUERTO RICO
Practice address
107 Gonzalez Guisti Ave.
Caparra Gallery Building Suite 304
Guaynabo, PR 00966
Phone
(787) 707-0020
Fax
(787) 782-2056
NPI assigned
Nov 16, 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
Hector J Stella Estevez, M.D.
Title
Medicina Interna
Phone
(787) 707-0020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 10812 PR Primary

Addresses

Primary practice location

107 Gonzalez Guisti Ave.
Caparra Gallery Building Suite 304
Guaynabo, PR 00966

Mailing address

107 Gonzalez Guisti Ave.
Caparra Gallery Building Suite 304
Guaynabo, PR 00966
Phone (787) 707-0020

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": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982777892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 GONZALEZ GUISTI AVE.",
            "address_2": "CAPARRA GALLERY BUILDING SUITE 304",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-707-0020",
            "fax_number": "787-782-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 GONZALEZ GUISTI AVE.",
            "address_2": "CAPARRA GALLERY BUILDING SUITE 304",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-707-0020",
            "fax_number": "787-782-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO MEDICINA INTERNA Y VASCULAR DE PUERTO RICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STELLA ESTEVEZ",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICINA INTERNA",
        "authorized_official_telephone_number": "787-707-0020",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PR",
            "license": "10812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, 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.