CDT POLICLINICA SAN PEDRO (POLICLINICA SAN PEDRO PSC) NPI 1003003484

Clinic/Center (Radiology) in Arroyo, PR

Organization Clinic/Center Radiology

About CDT POLICLINICA SAN PEDRO (POLICLINICA SAN PEDRO PSC)

Cdt Policlinica San Pedro (policlinica San Pedro Psc) is a provider established in Arroyo, Puerto Rico specializing in clinic/center (radiology) . The NPI number of Cdt Policlinica San Pedro (policlinica San Pedro Psc) is 1003003484 and was assigned on September 2007. The practitioner's primary taxonomy code is 261QR0200X with license number 229 (PR). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Cdt Policlinica San Pedro. The authorized official of this NPI record is Laura C Rivera Irizarry (Administrator)

NPI

1003003484

Provider NameCDT POLICLINICA SAN PEDRO (POLICLINICA SAN PEDRO PSC)
Provider Location Address211 CALLE MORSE ARROYO, PR 00714
Provider Mailing AddressPO BOX 818 ARROYO, PR 00714
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameCDT POLICLINICA SAN PEDRO
Other Name TypeDoing Business As (3)
Enumeration Date09-28-2007
Last Update Date09-19-2017

Primary Taxonomy

Taxonomy Code261QR0200X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationRadiology
License No.229
License StatePR

Business Address

CDT POLICLINICA SAN PEDRO
211 CALLE MORSE
ARROYO, PR
ZIP 00714
Phone: (787) 839-3980
Fax: (787) 839-2515

Get Directions

Mailing Address

CDT POLICLINICA SAN PEDRO
PO BOX 818
ARROYO, PR
ZIP 00714
Phone: (787) 839-3980
Fax: (787) 839-2515

Authorized Official

Authorized Official Name LAURA C RIVERA IRIZARRY
Authorized Official TitleADMINISTRATOR
Authorized Official Phone(787) 839-3980

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
37394OTHER (01)PR

Other Providers at the same location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1245442235POLICLINICA SAN PEDRO REFORMA
Organization
General Practice211 CALLE MORSE
ARROYO, PR 00714
(787) 839-3980
1285648022POLICLINICA SAN PEDRO PSC
Organization
Clinical Medical Laboratory211 CALLE MORSE
ARROYO, PR 00714
(787) 839-3980
1295057966GRUPO MEDICO POLICLINICA SAN PEDRO CSP
Organization
Specialist211 CALLE MORSE
ARROYO, PR 00714
(787) 839-3980
1497742316DR. JOSE SANDALIO RIVERA IRIZARRY M.D.
Individual
General Practice211 CALLE MORSE
ARROYO, PR 00714
(787) 839-3980
1700961679FARMACIA CDT POLICLINICA SAN PEDRO
Organization
Pharmacy (Community/Retail Pharmacy)211 CALLE MORSE
ARROYO, PR 00714
(787) 839-3980
1821070640POLICLINICA SAN PEDRO PSC
Organization
Clinic/Center (Emergency Care)211 CALLE MORSE
ARROYO, PR 00714
(787) 839-3980
1881914000GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Organization
Specialist211 CALLE MORSE
ARROYO, PR 00714
(787) 839-3980

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.