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CASA JOVEN DEL CARIBE INC. NPI 1215294343


NPI Information

NPI: 1215294343
Provider Name: CASA JOVEN DEL CARIBE, INC.

Other Name: CLINICA RENACER

Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

CLIA Number: 40D2016940

Address:
537 CALLE EXT S
DORADO, PR
ZIP 00646
Phone: (787) 796-2832
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CASA JOVEN DEL CARIBE, INC. is a medical specialty clinic center in Dorado, PR. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). CASA JOVEN DEL CARIBE, INC. NPI is 1215294343. The provider is registered as an organization entity type.
The provider Other Name Is Clinica Renacer.

The provider's business location address is:

537 CALLE EXT S
DORADO, PR
ZIP 00646-016
Phone: (787) 796-2832
Fax: (787) 796-2832

The provider's authorized official is Samuel Agosto Lopez .
The authorized official title is Director Servicios Clinicos and has the following contact phone number (787) 644-0194.

The CLIA number assigned to this NPI record is 40D2016940 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/13/2012 and was last updated on 4/13/2012.


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
1261QM2500XClinic/CenterMedical Specialty16726PUERTO RICOYes

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: 11/14/2023

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