{"npi":"1811249840","type":"NPI-2","status":"active","name":{"display":"Centro Clinico De Vega Alta Corp","other":[],"organization_name":"CENTRO CLINICO DE VEGA ALTA CORP","authorised_official":"Maritza Trinidad Reyes"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"CALLE MUNOZ RIVERA NUM 5A","city":"VEGA ALTA","state":"PR","postal_code":"00692","country_code":"US","phone":"7878835917"},{"purpose":"MAILING","street_1":"138 WINSTON CHURCHILL AVENUE","city":"SAN JUAN","state":"PR","postal_code":"00926","country_code":"US","street_2":"EL SENORIAL MAIL STATION 641","phone":"7878835917"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20150616000869","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"PR","pac_id":"0648581710"}]},"enumeration_date":"2012-10-15","last_updated":"2014-08-21","_meta":{"source":"NPPES","snapshot_date":"2014-08-21","doc_url":"https://findmynpi.com/api"}}