Podiatry Center, PSC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

0039 Issued in PR

Legal business name

PODIATRY CENTER, PSC

Practice address

1413 Ave Fernandez Juncos
Stop 20
Santurce, PR 00909-2649

Phone

(787) 724-0871

Fax

(787) 724-0886

NPI assigned

Jun 20, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Norma Diaz

Title

Administrator

Phone

(787) 724-0871

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Egidio Montanile, DPM

  • Foot Surgery Podiatrist
  • Santurce, PR
  • NPI 1184705568
  Medicare reassignment NPD
• Gabriel Antonio Molina-Arroyo, DPM

  • Foot & Ankle Surgery Podiatrist
  • Santurce, PR
  • NPI 1780361709
  Medicare reassignment NPD (past)

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1023013653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19657",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009101657",
            "telephone_number": "787-724-0871",
            "fax_number": "787-724-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 AVE FERNANDEZ JUNCOS",
            "address_2": "STOP 20",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009092649",
            "telephone_number": "787-724-0871",
            "fax_number": "787-724-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY CENTER, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "NORMA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-724-0871",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "PR",
            "license": "0039",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PR",
            "license": "1302060001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yadira Eileen Perez, DMD
• Jose Rafael Pesquera-Garcia, M.D.
• Phalanx Orthopedic Real Estate
• PMC Marketing Corp (Farmacia El Amal # 9)
• PMC Marketing Corp (Farmacia El Amal # 44)
• Bianca S Pujol Angomas, M.D.
• Manuel A Quiles Lugo, MD
• Brenda Quinones
• Elba Rabell-Berrios, MA
• Digna Ramirez

• Foot Surgery Podiatrist in Santurce, PR
• Providers in Santurce, PR by specialty
• Foot Surgery Podiatrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.