CIM – NPI #1194936203
Clinic/Center

CIM is an AHC clinic located in FAJARDO, PR. NPPES has assigned the NPI number 1194936203 to CIM on May 24, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CIM” is a dba name, the actual legal business name for this organization is CENTRO INTEGRAL DE MEDICINA. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CIM below.

NPI Profile for
CENTRO INTEGRAL DE MEDICINA

NPI Number
1194936203
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CENTRO INTEGRAL DE MEDICINA
Doing Business As (dba): CIM
Primary location
AVE. CONQUISTADOR A45, MONTE BRISAS
FAJARDO, PR 00738
Phone: (787) 860-1166 Fax: (787) 860-1166
Mailing address
PO BOX 776
PUERTO REAL, PR 00740
Phone: (787) 860-1166 Fax: (787) 860-1166
Organization Subpart
No
Authorized Official
CARMEN AYALA
ADMINISTRADOR
Phone: (787) 860-1166
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.