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CENTRO DE MEDICINA INTEGRAL DE MANATI,INC
NPI 1043675622
Clinic/Center - Public Health, Federal in Manati, PR

Active since December 23, 2015CLIA 40D2065113 · Waiver
77 BO COTTO, URBANIZACION FELIX CORDOVA DAVILA, MANATI, PR 00674(787) 884-4700(787) 884-9719 Get Directions Write a Review

NPPES record last updated: December 23, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Centro De Medicina Integral De Manati,inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRO DE MEDICINA INTEGRAL DE MANATI,INC (NPI 1043675622) is a healthcare organization registered as a public health, federal in Manati, Puerto Rico and active in the NPI registry since December 2015. The organization holds a CLIA Waiver certificate valid through September 3, 2027 and lists Mildalias Dominguez Pascual, President, as its authorized official.

NPPES Registry Identity

NPI1043675622
Entity TypeOrganization
Primary Taxonomy261QP0904X
Legal Business NameCENTRO DE MEDICINA INTEGRAL DE MANATI,INC
Location Address77 BO COTTO, URBANIZACION FELIX CORDOVA DAVILAManati, PR 00674-0000
Mailing AddressPo Box 4317Vega Baja, PR 00694-4317 · (787) 884-4700 · Fax (787) 884-9719
Phone(787) 884-4700
Fax(787) 884-9719
Organization SubpartNo
Authorized OfficialMildalias Dominguez PascualPresident · (787) 884-4700
Enumeration DateDecember 23, 2015
✔ NPI 1043675622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Public Health, FederalAmbulatory Health Care Facilities
Taxonomy Code261QP0904X
77 BO COTTO, Manati, PR 00674
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 40D2065113

Centro De Medicina Integral De Manati · Manati, PR
Active · expires Sep 3, 2027
CLIA Number40D2065113
Laboratory TypeRural Health Clinic
Certificate Effective DateSeptember 4, 2025
Certificate Expiration DateSeptember 3, 2027
Laboratory DirectorDr. Mildalias Dominguez
Laboratory Phone(787) 884-4700
Laboratory LocationCentro De Medicina Integral De ManatiBo Cotto # 77 - Urb Felix Cordova Davila, Manati, PR 00674
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Centro De Medicina Integral De Manati,inc's NPI number?

The NPI number for Centro De Medicina Integral De Manati,inc is 1043675622. It was assigned to this organization in the NPPES registry on December 23, 2015.

Where is Centro De Medicina Integral De Manati,inc located?

Centro De Medicina Integral De Manati,inc is located at 77 Bo Cotto Urbanizacion Felix Cordova Davila, Manati, PR 00674. The listed phone number is (787) 884-4700.

What is Centro De Medicina Integral De Manati,inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Public Health, Federal, with taxonomy code 261QP0904X.

Does Centro De Medicina Integral De Manati,inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 40D2065113) is associated with this NPI, valid through September 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Centro De Medicina Integral De Manati,inc was last updated on December 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.