CMDA DE PUERTORICO, INC.
NPI 1396712931
Clinic/Center in Bayamon, PR

Active since March 02, 2006
51 CALLE DR VEVE, BAYAMON, PR 00961(787) 780-1445 Get Directions Write a Review

NPPES record last updated: May 27, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center

About CMDA DE PUERTORICO, INC.

This page provides the complete NPI Profile along with additional information for Cmda De Puertorico, Inc., a provider established in Bayamon, Puerto Rico operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1396712931 assigned on March 2006. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Dietrich K. Gentsch (Executive Director)

NPI
1396712931 Verify this NPI
Provider Name
CMDA DE PUERTORICO, INC.
Entity Type
Organization
Location Address
51 CALLE DR VEVE BAYAMON, PR 00961
Location Phone
(787) 780-1445
Mailing Address
PO BOX 6181 BAYAMON, PR 00960
Mailing Phone
(787) 780-1445
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-02-2006
Last Update Date
05-27-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DIETRICH K. GENTSCH

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(787) 780-2425

Reviews for CMDA DE PUERTORICO, INC.

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

General Practice
51 CALLE DR VEVE
BAYAMON, PR 00961
General Practice
51 CALLE DR VEVE
BAYAMON, PR 00961

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396712931, enumerated as an "organization" on March 02, 2006.

The provider is located at 51 CALLE DR VEVE BAYAMON, PR 00961 and the phone number is (787) 780-1445.

Clinic/Center with taxonomy code 261Q00000X.