Medivida

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MEDIVIDA

Practice address

407B Calle Juan a Davila
Suite 2
San Juan, PR 00918

Phone

(787) 504-5005

NPI assigned

May 17, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Heileene Torres Colberg

Title

Partner

Phone

(787) 396-5050

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1043700743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16474",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009086474",
            "telephone_number": "787-396-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407B CALLE JUAN A DAVILA",
            "address_2": "SUITE 2",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-504-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIVIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-05-17",
        "status": "A",
        "authorized_official_last_name": "TORRES COLBERG",
        "authorized_official_first_name": "HEILEENE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "787-396-5050",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Meditest Diagnostic
• Medlar Medical Services C S P
• Medplus Health Services LLC
• Medscan
• Medx Community Clinics
• Medx Management Services LLC

• Family Medicine Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Family Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.