CLINICA TODO SALUD - AIBONITO LLC NPI 1790301984

NPI Information

NPI: 1790301984
Provider Name: CLINICA TODO SALUD - AIBONITO, LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 40D2263629

Address:
CARR 725 KM 0.5 BO LLANOS
PARQUE INDUSTRIAL L-238-0-61
AIBONITO, PR
ZIP 00705
Phone: (787) 545-7073
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CLINICA TODO SALUD - AIBONITO, LLC is a multi-specialty clinic center in Aibonito, PR. CLINICA TODO SALUD - AIBONITO, LLC NPI is 1790301984. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

CARR 725 KM 0.5 BO LLANOS
PARQUE INDUSTRIAL L-238-0-61
AIBONITO, PR
ZIP 00705-526
Phone: (787) 545-7073

The provider's authorized official is Sheilly D Perez Felix .
The authorized official title is Practice Manager and has the following contact phone number (787) 226-5234.

The CLIA number assigned to this NPI record is 40D2263629 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/23/2020 and was last updated on 1/18/2023.

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	Primary
1	103TC0700X	Psychologist	Clinical	No
2	1041C0700X	Social Worker	Clinical	No
3	133V00000X	Dietitian, Registered		No
4	207N00000X	Dermatology		No
5	207P00000X	Emergency Medicine		No
6	207RC0000X	Internal Medicine	Cardiovascular Disease	No
7	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	No
8	207RN0300X	Internal Medicine	Nephrology	No
9	261Q00000X	Clinic/Center		No
10	261QH0100X	Clinic/Center	Health Service	No
11	261QM1300X	Clinic/Center	Multi-Specialty	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	039236400	MEDICAID	PUERTO 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

NPI Synchronization or Removal

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