CLUB DEL DESARROLLO INTEGRAL, PSC
NPI 1134650880
Clinic/Center - Multi-Specialty in Guaynabo, PR

NPI Status: Active since March 24, 2017

Contact Information

110 CALLE CARAZO
GUAYNABO, PR
ZIP 00969
Phone: (787) 790-1583

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  • Organization
  • Clinic/Center
  • Multi-Specialty

About CLUB DEL DESARROLLO INTEGRAL, PSC

This page provides the complete NPI Profile along with additional information for Club Del Desarrollo Integral, Psc, a provider established in Guaynabo, Puerto Rico operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1134650880 assigned on March 2017. The practitioner's primary taxonomy code is 261QM1300X with license number 1008 (PR). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Mr. Raul Rivera Vega (President)

NPI
1134650880
Provider Name
CLUB DEL DESARROLLO INTEGRAL, PSC
Entity Type
Organization
Location Address
110 CALLE CARAZO GUAYNABO, PR 00969
Location Phone
(787) 790-1583
Mailing Address
110 CALLE CARAZO GUAYNABO, PR 00969
Mailing Phone
(787) 790-1583
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-24-2017
Last Update Date
03-24-2017
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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 Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities
License No.
1008
License State
PR

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)
1261QP2000XAmbulatory Health Care Facilities

Clinic/Center
Physical Therapy

1361 (PR)

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

MR. RAUL RIVERA VEGA

Authorized Official Title
PRESIDENT
Authorized Official Phone
(787) 790-1583

Reviews for CLUB DEL DESARROLLO INTEGRAL, PSC

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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.
1134650880
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21641250816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 1 + 2 + 5 + 0 + 8 + 1 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1134650880 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1255009494MRS. ANGIE MICHELLE SANCHEZ-PAGAN MA
Individual
Psychologist (School)110 CALLE CARAZO
GUAYNABO, PR 00969
(787) 790-1583
1427726660 WILAINY PANTOJA ROSADO
Individual
Speech-Language Pathologist110 CALLE CARAZO
GUAYNABO, PR 00969
(787) 790-1583
1487322434EXPLORA CENTRO ACADEMICO Y TERAPUTICO LLC
Organization
110 CALLE CARAZO
GUAYNABO, PR 00969
(787) 640-5680
1811665763 SARAI SANTIAGO
Individual
Speech-Language Pathologist110 CALLE CARAZO
GUAYNABO, PR 00969
(787) 640-5680

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134650880, enumerated in the NPI registry as an "organization" on March 24, 2017

The provider is located at 110 Calle Carazo Guaynabo, Pr 00969 and the phone number is (787) 790-1583

This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty

This NPI record was last updated on March 24, 2017. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.