NPIMap

Organization Active NPI

Iniciativa Comunitaria de Investigacion

  • Community Health Clinic/Center
  • Bayamon, PR
National Provider Identifier
1992092555
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
207QA0401X
Legal business name
INICIATIVA COMUNITARIA DE INVESTIGACION
Practice address
100 Ave Laurel
Hospital Ramon Ruiz Arnau
Bayamon, PR 00956-4816
Phone
(787) 338-8383
Fax
(787) 338-8400
NPI assigned
Jul 5, 2011
Last updated
Oct 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Authorized official

Name
Jose Antonio Vargas-Vidot, MD
Title
Excecutive Director
Phone
(787) 250-8629

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 207QA0401X Primary

Addresses

Primary practice location

100 Ave Laurel
Hospital Ramon Ruiz Arnau
Bayamon, PR 00956-4816

Mailing address

PO Box 366535
San Juan, PR 00936-6535
Phone (787) 250-8629

Other names 1

  • Programa PITIRRE Other name

National Provider Directory

National Provider Directory
Tax ID family
Iniciativa Comunitaria Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the 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, 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": "1309824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1992092555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366535",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009366535",
            "telephone_number": "787-250-8629",
            "fax_number": "787-753-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AVE LAUREL",
            "address_2": "HOSPITAL RAMON RUIZ ARNAU",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009564816",
            "telephone_number": "787-338-8383",
            "fax_number": "787-338-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INICIATIVA COMUNITARIA DE INVESTIGACION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-05",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "VARGAS-VIDOT",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "EXCECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-250-8629",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": "207QA0401X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Programa PITIRRE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.