NPIMap

Organization Active NPI

Instituto Neumologico de Puerto Rico

  • Specialist
  • San Juan, PR
National Provider Identifier
1013907864
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
INSTITUTO NEUMOLOGICO DE PUERTO RICO
Practice address
Edif Clinica Las Americas Ofic 205
400 Roosevelt Ave
San Juan, PR 00918
Phone
(787) 765-1919
Fax
(787) 763-4049
NPI assigned
Oct 24, 2005
Last updated
Dec 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

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

Authorized official

Name
Rafael J Rodriguez Servera, MD,FCCP
Title
Socio-Gestor
Phone
(787) 765-1919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

Edif Clinica Las Americas Ofic 205
400 Roosevelt Ave
San Juan, PR 00918

Mailing address

Edif Clinica Las Americas Ofic 205
400 Roosevelt Ave
San Juan, PR 00918
Phone (787) 765-1919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051222000518 PR Part B Supplier - Clinic/Group Practice 3274555826 Receives reassigned benefits from 4 practitioners
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228176000000",
    "number": "1013907864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EDIF CLINICA LAS AMERICAS OFIC 205",
            "address_2": "400 ROOSEVELT AVE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-765-1919",
            "fax_number": "787-763-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIF CLINICA LAS AMERICAS OFIC 205",
            "address_2": "400 ROOSEVELT AVE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-765-1919",
            "fax_number": "787-763-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTO NEUMOLOGICO DE PUERTO RICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-24",
        "last_updated": "2008-12-02",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ SERVERA",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOCIO-GESTOR",
        "authorized_official_telephone_number": "787-765-1919",
        "authorized_official_credential": "MD,FCCP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.