Eastern Industrial Medical Services,Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

13148 Issued in PR

Legal business name

EASTERN INDUSTRIAL MEDICAL SERVICES,INC.

Practice address

Aa3 Ave Tejas
Frente Upr
Humacao, PR 00791-4351

Phone

(787) 285-3919

Fax

(787) 285-3919

NPI assigned

Aug 8, 2012

Organization subpart

No

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

Authorized official

Name

Dr. David Figueroa, M.D.NPI 1891755047

Title

President

Phone

(787) 285-3919

Specialties & licenses 1

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.

• David Figueroa, M.D.

  • General Practice Physician
  • Humacao, PR
  • NPI 1891755047

  PR

  Medicare reassignment Authorized official
• Diana Figueroa Carrasquillo, APRN, FNP-C, ACNP-AG

  • Family Nurse Practitioner
  • San Juan, PR
  • NPI 1124791694
  NPD (past)

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1043567068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8085",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007928085",
            "telephone_number": "787-285-3919",
            "fax_number": "787-285-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AA3 AVE TEJAS",
            "address_2": "FRENTE UPR",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007914351",
            "telephone_number": "787-285-3919",
            "fax_number": "787-285-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN INDUSTRIAL MEDICAL SERVICES,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-08",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "FIGUEROA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-285-3919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PR",
            "license": "13148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Humacao, PR
• Providers in Humacao, PR by specialty
• Primary Care Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.