Organization Active NPI

Instituto de Artritis del Oeste

  • Rheumatology Physician
  • San German, PR
National Provider Identifier
1013003144
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
15453 Issued in PR
Legal business name
INSTITUTO DE ARTRITIS DEL OESTE
Practice address
San German Medical Plaza, Suite 203-205
Road #2 KM 174
San German, PR 00683
Phone
(787) 264-0818
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Roberto Enrique Pancorbo, MD
Title
President of Corporation
Phone
(787) 264-0818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X 15453 PR Primary

Addresses

Primary practice location

San German Medical Plaza, Suite 203-205
Road #2 KM 174
San German, PR 00683

Mailing address

PO Box 3445
Lajas, PR 00667-3445
Phone (787) 264-0818

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1013003144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3445",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "006673445",
            "telephone_number": "787-264-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAN GERMAN MEDICAL PLAZA, SUITE 203-205",
            "address_2": "ROAD #2 KM 174",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-264-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTO DE ARTRITIS DEL OESTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "PANCORBO",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "787-264-0818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PR",
            "license": "15453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.