NPIMap

Organization Active NPI

Centro de Vacunacion Policlinica Dr. Radames Marin, Inc.

  • Clinic/Center
  • Yauco, PR
National Provider Identifier
1992847107
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CENTRO DE VACUNACION POLICLINICA DR. RADAMES MARIN, INC.
Practice address
61 Calle Comercio
Yauco, PR 00698-3541
Phone
(787) 856-0844
Fax
(787) 267-5554
NPI assigned
Feb 13, 2007
Last updated
May 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Authorized official

Name
Dr. Radames Marin, MD
Title
President
Phone
(787) 856-0844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

61 Calle Comercio
Yauco, PR 00698-3541

Mailing address

PO Box 1665
Yauco, PR 00698-1665
Phone (787) 856-0844

Other identifiers 1

IdentifierTypeStateIssuer
10525OtherPRTRIPLE S

National Provider Directory

National Provider Directory

Locations

61 Calle Comercio
Yauco, PR 00698

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1992847107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1665",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006981665",
            "telephone_number": "787-856-0844",
            "fax_number": "787-267-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 CALLE COMERCIO",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006983541",
            "telephone_number": "787-856-0844",
            "fax_number": "787-267-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE VACUNACION POLICLINICA DR. RADAMES MARIN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "MARIN",
        "authorized_official_first_name": "RADAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-856-0844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "10525",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yauco, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.