NPIMap

Organization Active NPI

Centro Medico del Turabo Inc

  • Pediatric Gastroenterology Physician
  • Fajardo, PR
National Provider Identifier
1992848907
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
6119 Issued in PR
Legal business name
CENTRO MEDICO DEL TURABO INC
Practice address
Hima San Pablo Fajardo
Edif Antiguo Opd Piso 2
Fajardo, PR 00738
Phone
(787) 653-3434
Fax
(787) 961-1901
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Mr. Orlando Rivera, LCDO
Title
Executive Director
Phone
(787) 653-3434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0206X 6119 PR Primary

Addresses

Primary practice location

Hima San Pablo Fajardo
Edif Antiguo Opd Piso 2
Fajardo, PR 00738

Mailing address

PO Box 4980
Caguas, PR 00726-4980
Phone (787) 653-3434

Other identifiers 2

IdentifierTypeStateIssuer
$$$$$$$$$OtherPRSOCIAL SECURITY
$$$$$$$$$OtherPRSOCIAL SECURITY

Other names 1

  • GRUPO GASTROENTEROLOGIA PEDIATRICA AVANZADA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ctro Medico del Turabo73 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1992848907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4980",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007264980",
            "telephone_number": "787-653-3434",
            "fax_number": "787-653-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIMA SAN PABLO FAJARDO",
            "address_2": "EDIF ANTIGUO OPD PISO 2",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-653-3434",
            "fax_number": "787-961-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO MEDICO DEL TURABO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "ORLANDO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-653-3434",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCDO"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "PR",
            "license": "6119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY",
            "identifier": "$$$$$$$$$",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY",
            "identifier": "$$$$$$$$$",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRUPO GASTROENTEROLOGIA PEDIATRICA AVANZADA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fajardo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.