Clinica Control de Peso de Hormigueros, Inc.

Organization Active NPI General Practice Physician · Hormigueros, PR

NPI 1992033138 · NPPES record last updated Nov 30, 2009

Key facts

NPI
1992033138
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Physician 208D00000X
License
12660 (PR)
Legal business name
CLINICA CONTROL DE PESO DE HORMIGUEROS, INC.
Practice address
14Y 15 San Antonio
Hormigueros Plaza Suite 4
Hormigueros, PR 00660
Phone
(787) 849-0099
Fax
(787) 849-0099
NPI assigned
Nov 30, 2009
Organization subpart
No

Authorized official

Name
Dr. Alvia Ivette Varona Cantellops, M.D.
Title
President
Phone
(787) 849-0099

Practitioners 2

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208D00000X 12660 PR Yes

Addresses

Primary practice location

14Y 15 San Antonio
Hormigueros Plaza Suite 4
Hormigueros, PR 00660

Mailing address

PO Box 1381
Cabo Rojo, PR 00623-1381
Phone (787) 849-0099

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 30, 2009.

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1992033138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1381",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006231381",
            "telephone_number": "787-849-0099",
            "fax_number": "787-849-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14Y 15 SAN ANTONIO",
            "address_2": "HORMIGUEROS PLAZA SUITE 4",
            "city": "HORMIGUEROS",
            "state": "PR",
            "postal_code": "00660",
            "telephone_number": "787-849-0099",
            "fax_number": "787-849-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA CONTROL DE PESO DE HORMIGUEROS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-30",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "VARONA CANTELLOPS",
        "authorized_official_first_name": "ALVIA",
        "authorized_official_middle_name": "IVETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-849-0099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "12660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hormigueros, PR

All providers in Hormigueros, PR · General Practice Physician in Puerto Rico

Sources for this page

Verify at the official NPI Registry.