Centro de Medicina Primaria Y Alterna de Mayaguez

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

CENTRO DE MEDICINA PRIMARIA Y ALTERNA DE MAYAGUEZ

Practice address

445 Ave Gonzalez Clemente
Mayaguez, PR 00682-1136

Phone

(787) 831-0396

NPI assigned

Jan 12, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ismael A Segarra

Title

President

Phone

(787) 831-0396

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1200096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200096000000",
    "number": "1992981658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5914",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006815914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 AVE GONZALEZ CLEMENTE",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006821136",
            "telephone_number": "787-831-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE MEDICINA PRIMARIA Y ALTERNA DE MAYAGUEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-12",
        "last_updated": "2008-01-12",
        "status": "A",
        "authorized_official_last_name": "SEGARRA",
        "authorized_official_first_name": "ISMAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-831-0396",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Multi-Specialty Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2008; 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.