CENTRO ARARAT SAN JUAN
NPI 1114577046
Clinic/Center - Multi-Specialty in San Juan, PR
NPI Status: Active since September 12, 2019
Contact Information
1503 CALLE PROF AUGUSTO RODRIGUEZ STE 601
SAN JUAN, PR
ZIP 00909
Phone: (787) 497-0800
Fax: (787) 982-6464
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 40D2134636
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-06-2025
About CENTRO ARARAT SAN JUAN
This page provides the complete NPI Profile along with additional information for Centro Ararat San Juan, a provider established in San Juan, Puerto Rico operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1114577046 assigned on September 2019. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Centro Ararat San Juan operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Centro Ararat San Juan. The authorized official of this NPI record is Ivan Melendez-rivera Md (Medical Director)
- NPI
- 1114577046
- Provider Legal Name
- CENTRO ARARAT INC
- Other Organization Name
- CENTRO ARARAT SAN JUAN
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1503 CALLE PROF AUGUSTO RODRIGUEZ STE 601 SAN JUAN, PR 00909
- Location Phone
- (787) 497-0800
- Location Fax
- (787) 982-6464
- Mailing Address
- PO BOX 7793 PONCE, PR 00732
- Mailing Phone
- (787) 284-5884
- Mailing Fax
- (787) 982-6464
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-12-2019
- Last Update Date
- 09-12-2019
- Code Navigator
Location Map
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 Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | |
| 2 | 104100000X | Behavioral Health & Social Service Providers | Social Worker | |
| 3 | 133NN1002X | Dietary & Nutritional Service Providers | Nutritionist | |
| 4 | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | |
| 5 | 163W00000X | Nursing Service Providers | Registered Nurse | |
| 6 | 174H00000X | Other Service Providers | Health Educator | |
| 7 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 8 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 9 | 207RI0200X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 10 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 11 | 208U00000X | Allopathic & Osteopathic Physicians | Clinical Pharmacology |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 40D2134636
- Facility Type
- Physician Office
- Certificate Effective Date
- August 07, 2023
- Certificate Expiration Date
- August 06, 2025
- Laboratory Director
- DR. IVAN MELENDEZ-RIVERA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Centro Ararat San Juan to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 1 | 4 | 5 | 7 | 7 | 0 | 4 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 10 | 7 | 14 | 0 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 1 + 0 + 7 + 1 + 4 + 0 + 8 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1114577046 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114577046, enumerated in the NPI registry as an "organization" on September 12, 2019
The provider is located at 1503 Calle Prof Augusto Rodriguez Ste 601 San Juan, Pr 00909 and the phone number is (787) 497-0800
This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty
The provider's CLIA number is 40D2134636 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on September 12, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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