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CARIBBEAN FOOT CLINIC LLC. NPI 1093258113


NPI Information

NPI: 1093258113
Provider Name: CARIBBEAN FOOT CLINIC, LLC.

Doing Business As: JOSE C RODRIGUEZ PORTELA

Classification: Clinic/Center - 261QP1100X
Entity Type: Organization

Specialization: Podiatric

Address:
1 MARGINAL URB SANTA RITA
CARIBE MEDICAL PLAZA SUITE 201
VEGA ALTA, PR
ZIP 00692
Phone: (787) 270-1333
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CARIBBEAN FOOT CLINIC, LLC. is a podiatric clinic center in Vega Alta, PR. CARIBBEAN FOOT CLINIC, LLC. NPI is 1093258113. The provider is registered as an organization entity type.
The provider Is Doing Business As Jose C Rodriguez Portela.

The provider's business location address is:

1 MARGINAL URB SANTA RITA
CARIBE MEDICAL PLAZA SUITE 201
VEGA ALTA, PR
ZIP 00692
Phone: (787) 270-1333
Fax: (787) 270-1330

The provider's authorized official is Jose C Rodriguez Portela .
The authorized official title is Owner and has the following contact phone number (787) 344-3553.

The enumeration date for this NPI number is 11/21/2016 and was last updated on 11/28/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP1100XClinic/CenterPodiatric103PUERTO RICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11427142645MEDICARE UPINPUERTO RICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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