Active NPI
Sportmed International, LLC.
- Health Service Clinic/Center
- Bayamon, PR
National Provider Identifier
1063945996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- SPORTMED INTERNATIONAL, LLC.
- Practice address
- U12 Calle 10
Alturas de Flamboyan
Bayamon, PR 00959-8052 - Phone
- (787) 534-3062
- NPI assigned
- Apr 7, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jorge Luis Nazario
- Title
- President
- Phone
- (787) 534-3062
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
U12 Calle 10
Alturas de Flamboyan
Bayamon, PR 00959-8052
Mailing address
S3-11 Carr 21 Suite 301
Urb Las Lomas
San Juan, PR 00921
Phone (787) 534-3062
National Provider Directory
National Provider Directory- Tax ID family
- Sportmed International LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- San Juan, PR
- NPI 1467903708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491523200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1491523200000",
"number": "1063945996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "S3-11 CARR 21 SUITE 301",
"address_2": "URB LAS LOMAS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00921",
"telephone_number": "787-534-3062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "U12 CALLE 10",
"address_2": "ALTURAS DE FLAMBOYAN",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009598052",
"telephone_number": "787-534-3062"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPORTMED INTERNATIONAL, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-07",
"last_updated": "2017-04-07",
"status": "A",
"authorized_official_last_name": "NAZARIO",
"authorized_official_first_name": "JORGE",
"authorized_official_middle_name": "LUIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-534-3062",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
- Speech Box LLC
- Speech Buddies
- Nicolle Spence, M.D.
- Spina Bifida & Hydrocephalus Association of Puerto Rico, Inc
- SPM Doctors Services Group PSC
- Sr. Cita Corp.
- St Lukes Episcopal Church Home Care Program (St. Lukes Home Health Agency Bayamon)
- Sta Juanita 2 X-Ray Services, Inc.
- Stat Anesthesia, PSC
- Stereotactic Breast Center PSC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.