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
-
Alexis Acosta, M.D.
-
Alvia Ivette Varona, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
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
{
"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
- CDT Hormigueros Preventive Medicine, Inc
- CDT Hormigueros Preventive Medicine,Inc
- Centro de Medicina Interna del Oeste, CSP
- Centro de Servicios Psicoeducativos del Oeste, Inc.
- Centro de Vacunacion Municipal
- Clinica Dr Rovira
- Melissa Collado Mercado
- Constancia Pharmacy, Inc.
- Corpus Wellness Clinic LLC.
- Nilka Adei Cruz Jusino
All providers in Hormigueros, PR · General Practice Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.