NORTHEAST CORP NPI 1669635397

NPI Information

  • NPI: 1669635397
  • Provider Name: NORTHEAST CORP
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 40D2147676
  • Address: AVE 1 SANTA RITA
    SUITE 304
    VEGA ALTA, PR
    ZIP 00692
  • Phone: (787) 270-1345

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NPI Details

NORTHEAST CORP is an ambulatory surgical clinic center in Vega Alta, PR. NORTHEAST CORP NPI is 1669635397. The provider is registered as an organization entity type.

The provider's business location address is:

AVE 1 SANTA RITA
SUITE 304
VEGA ALTA, PR
ZIP 00692-000
Phone: (787) 270-1345
Fax: (787) 270-1350

The provider's authorized official is Jose Serrano .
The authorized official title is Administrator and has the following contact phone number (787) 594-6383.

The CLIA number assigned to this NPI record is 40D2147676 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/2/2008 and was last updated on 8/26/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical31PUERTO 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
131OTHERPUERTO RICOHEALTH LICENCE

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: 11/21/2025

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