CENTRO DE SERVICIOS MEDICOS DE PENA POBRE NPI 1689619660

NPI Information

NPI: 1689619660
Provider Name: CENTRO DE SERVICIOS MEDICOS DE PENA POBRE

Former Legal Business Name: CENTRO DE SERVICIOS MEDICOS DE MUNICIPIO DE NAGUABO

Classification: Clinic/Center - 261QP0905X
Entity Type: Organization

Specialization: Public Health, State or Local

CLIA Number: 40D2073977

Address:
STREET 31
192
NAGUABO, PR
ZIP 00718
Phone: (787) 874-3037
Get Directions

CENTRO DE SERVICIOS MEDICOS DE PENA POBRE is a public health and state or local clinic center in Naguabo, PR. CENTRO DE SERVICIOS MEDICOS DE PENA POBRE NPI is 1689619660. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Centro De Servicios Medicos De Municipio De Naguabo.

The provider's business location address is:

STREET 31
192
NAGUABO, PR
ZIP 00718
Phone: (787) 874-3037
Fax: (787) 874-3037

The provider's authorized official is Gladys Pomales .
The authorized official title is Administrator and has the following contact phone number (787) 874-3037.

The CLIA number assigned to this NPI record is 40D2073977 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/16/2006 and was last updated on 8/17/2018.

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
1	261QP0905X	Clinic/Center	Public Health, State or Local	30673	PUERTO RICO	Yes

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
1	=========	OTHER	PUERTO RICO	MCS
2	2991-1	OTHER	PUERTO RICO	PROSAM
3	=========	OTHER	PUERTO RICO	CIGNA
4	201648	OTHER	PUERTO RICO	PREFERRED HEALTH
5	9001119	OTHER	PUERTO RICO	CRUZ AZUL DE PUERTO RICO
6	00409	OTHER	PUERTO RICO	AMERICAN HEALTH
7	89681	OTHER	PUERTO RICO	TRIPLE S
8	6701184	OTHER	PUERTO RICO	HUMANA
9	=========	OTHER	PUERTO RICO	COSVI

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: 5/5/2024

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