Northwest Infusion Center LLC

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

NORTHWEST INFUSION CENTER LLC

Practice address

13 Calle Padre Feliciano
San Sebastian, PR 00685-2215

Phone

(787) 896-1057

Fax

(787) 896-1057

NPI assigned

Mar 11, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Luis J Acevedo Marty, MDNPI 1164483095

Title

Presidente

Phone

(787) 882-6100

Specialties & licenses 3

Addresses

Locations

Practitioners 2

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

• Luis Jaime Acevedo-Marty, M.D.

  • Family Medicine Physician
  • Aguadilla, PR
  • NPI 1164483095
  NPD (past) Authorized official
• Carmen M. Rico Ramirez, MD

  • General Practice Physician
  • Aguadilla, PR
  • NPI 1730142076
  NPD (past)

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1053946996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250139",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006040139",
            "telephone_number": "787-882-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 CALLE PADRE FELICIANO",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006852215",
            "telephone_number": "787-896-1057",
            "fax_number": "787-896-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST INFUSION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-11",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "ACEVEDO MARTY",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-882-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erick G. Nieves Rivera, M.D.
• Maria Elena Nieves Soto, M.S.W.
• Diana Marie Nieves, THL
• Norma I Nieves, OPTHICIAN
• Northwest Imaging Center LLC
• Northwest Psychological Clinic
• Obdulio Segarra Velez
• Ojos Centro Optico LLC
• Zaira Teresa Olivencia Henriquez, OD
• On Time Ambulance Service Inc.

• Infusion Therapy Clinic/Center in San Sebastian, PR
• Providers in San Sebastian, PR by specialty
• Infusion Therapy Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.