POLICLINICA SAN PEDRO PSC NPI 1003003484

Clinic/Center (Radiology) in Arroyo, PR

About POLICLINICA SAN PEDRO PSC

Policlinica San Pedro Psc is a provider in Arroyo, PR. The NPI number assigned to this provider is 1003003484. The practitioner's primary taxonomy code is Clinic/Center (261QR0200X). The provider is registered as an organization and their NPI record was last updated 0 years ago. The provider's is doing business as Cdt Policlinica San Pedro.

NPI1003003484 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NamePOLICLINICA SAN PEDRO PSC
Provider Location Address211 CALLE MORSE ARROYO, PR 00714 Additional informationCallout TooltipProvider 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 AddressPO BOX 818 ARROYO, PR 00714 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
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).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. 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.
Other Organization NameCDT POLICLINICA SAN PEDRO Additional informationCallout TooltipProvider other organization name
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. Codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Other Name TypeDoing Business As (3)
Enumeration Date09-28-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date09-19-2017 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

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

Mailing Address

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

Primary Taxonomy

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

Authorized Official

Authorized Official Name LAURA C RIVERA IRIZARRY Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
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

Map Location


POLICLINICA SAN PEDRO PSC address is 211 CALLE MORSE ARROYO, PR 00714

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