Organization Active NPI

Prosalud Medical Center P S C

  • Clinic/Center
  • Isabela, PR
National Provider Identifier
1992100515
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
TXR Issued in PR
Legal business name
PROSALUD MEDICAL CENTER P S C
Practice address
Carr 474 KM 2.2 Calle Felipe Mendez
Bo. Coto
Isabela, PR 00662-0000
Phone
(787) 648-9085
Fax
(787) 830-7472
NPI assigned
Oct 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2015

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

Authorized official

Name
Huber Tavarez, M.D.
Title
President
Phone
(787) 648-9085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X TXR PR Primary

Addresses

Primary practice location

Carr 474 KM 2.2 Calle Felipe Mendez
Bo. Coto
Isabela, PR 00662-0000

Mailing address

PO Box 1927
Isabela, PR 00662-1927
Phone (787) 648-9085

Other names 1

  • CENTRO RADIOLOGICO PROSALUD Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Centro Radiologico Prosalud2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1992100515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1927",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006621927",
            "telephone_number": "787-648-9085",
            "fax_number": "787-830-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 474 KM 2.2 CALLE FELIPE MENDEZ",
            "address_2": "BO. COTO",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006620000",
            "telephone_number": "787-648-9085",
            "fax_number": "787-830-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSALUD MEDICAL CENTER P S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "TAVAREZ",
        "authorized_official_first_name": "HUBER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-648-9085",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": "TXR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRO RADIOLOGICO PROSALUD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Isabela, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.