CDT POLICLINICA SAN PEDRO (POLICLINICA SAN PEDRO PSC) NPI 1003003484
Clinic/Center (Radiology) in Arroyo, PR
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 5 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 Name | CDT POLICLINICA SAN PEDRO (POLICLINICA SAN PEDRO PSC) |
| Provider Location Address | 211 CALLE MORSE ARROYO, PR 00714 |
| Provider Mailing Address | PO BOX 818 ARROYO, PR 00714 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Other Organization Name | CDT POLICLINICA SAN PEDRO |
| Other Name Type | Doing Business As (3) |
| Enumeration Date | 09-28-2007 |
| Last Update Date | 09-19-2017 |
Primary Taxonomy
| Taxonomy Code | 261QR0200X |
| Classification | Clinic/Center |
| Type | Ambulatory Health Care Facilities |
| Specialization | Radiology |
| License No. | 229 |
| License State | PR |
Business Address
CDT POLICLINICA SAN PEDRO
211 CALLE MORSE
ARROYO, PR
ZIP 00714
Phone: (787) 839-3980
Fax: (787) 839-2515
Mailing Address
CDT POLICLINICA SAN PEDRO
PO BOX 818
ARROYO, PR
ZIP 00714
Phone: (787) 839-3980
Fax: (787) 839-2515
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 |
|---|---|---|
| 37394 | OTHER (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 |
|---|---|---|---|
| 1700961679 | FARMACIA CDT POLICLINICA SAN PEDRO Organization | Pharmacy (Community/Retail Pharmacy) | 211 CALLE MORSE ARROYO, PR 00714 (787) 839-3980 |
| 1295057966 | GRUPO MEDICO POLICLINICA SAN PEDRO CSP Organization | Specialist | 211 CALLE MORSE ARROYO, PR 00714 (787) 839-3980 |
| 1881914000 | GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE Organization | Specialist | 211 CALLE MORSE ARROYO, PR 00714 (787) 839-3980 |
| 1821070640 | POLICLINICA SAN PEDRO PSC Organization | Clinic/Center (Emergency Care) | 211 CALLE MORSE ARROYO, PR 00714 (787) 839-3980 |
| 1285648022 | POLICLINICA SAN PEDRO PSC Organization | Clinical Medical Laboratory | 211 CALLE MORSE ARROYO, PR 00714 (787) 839-3980 |
| 1245442235 | POLICLINICA SAN PEDRO REFORMA Organization | General Practice | 211 CALLE MORSE ARROYO, PR 00714 (787) 839-3980 |
| 1497742316 | DR. JOSE SANDALIO RIVERA IRIZARRY M.D. Individual | General Practice | 211 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.