NPIMap

Organization Active NPI

Telecom Doctors, CSP

Doing business as Body Habitus Obesity Care Center

  • Primary Care Clinic/Center
  • San Juan, PR
National Provider Identifier
1083603138
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
10807 Issued in PR
Legal business name
TELECOM DOCTORS, CSP
Doing business as
Body Habitus Obesity Care Center
Practice address
#100 Grand Blvd Paseos
Suite 112 MSC 158
San Juan, PR 00926-5955
Phone
(787) 748-5306
Fax
(787) 748-5297
NPI assigned
Oct 20, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Jos Aurelio Dvila, MD
Title
Chief Executive & Medical Officer
Phone
(787) 748-5306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 10807 PR Primary

Addresses

Primary practice location

#100 Grand Blvd Paseos
Suite 112 MSC 158
San Juan, PR 00926-5955

Mailing address

100 Grand Blvd
Suite 112 MSC 158
San Juan, PR 00926-5955

Other names 1

  • Body Habitus Obesity Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Body Habitus Obesity Care Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1083603138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GRAND BLVD",
            "address_2": "SUITE 112 MSC 158",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265955",
            "fax_number": "787-748-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#100 GRAND BLVD PASEOS",
            "address_2": "SUITE 112 MSC 158",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265955",
            "telephone_number": "787-748-5306",
            "fax_number": "787-748-5297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELECOM DOCTORS, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DVILA",
        "authorized_official_first_name": "JOS",
        "authorized_official_middle_name": "AURELIO",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE & MEDICAL OFFICER",
        "authorized_official_telephone_number": "787-748-5306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PR",
            "license": "10807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Body Habitus Obesity Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.