Organization Active NPI

Northern Infusion LLC

  • Infusion Therapy Clinic/Center
  • Arecibo, PR
National Provider Identifier
1083817027
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
NORTHERN INFUSION LLC
Practice address
162 Calle Jose Rodriguez Iriz
Arecibo, PR 00612-4468
Phone
(787) 815-1563
Fax
(787) 881-5146
NPI assigned
Jun 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Authorized official

Name
Mr. Luis Ramon Monrouzeau Rosa
Title
President
Phone
(787) 815-1563

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X Primary

Addresses

Primary practice location

162 Calle Jose Rodriguez Iriz
Arecibo, PR 00612-4468

Mailing address

162 Calle Jose Rodriguez Iriz
Arecibo, PR 00612-4468
Phone (787) 815-1563

Other names 1

  • Northern Infusion LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080118000003 PR Part B Supplier - Clinic/Group Practice 4789773235 Receives reassigned benefits from 2 practitioners
Practice locations: Arecibo, PR

National Provider Directory

National Provider Directory

Locations

162 Calle Jose Rodriguez Iriz
Arecibo, PR 00612
Phone (787) 815-1563

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547769600000",
    "number": "1083817027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 CALLE JOSE RODRIGUEZ IRIZ",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124468",
            "telephone_number": "787-815-1563",
            "fax_number": "787-881-5146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 CALLE JOSE RODRIGUEZ IRIZ",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124468",
            "telephone_number": "787-815-1563",
            "fax_number": "787-881-5146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN INFUSION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2019-01-18",
        "status": "A",
        "authorized_official_last_name": "MONROUZEAU ROSA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "RAMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-815-1563",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Infusion LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.