Mayaguez Surgical Justiniano Suris

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

License

7142 Issued in PR

Legal business name

MAYAGUEZ SURGICAL JUSTINIANO SURIS

Practice address

Mendez Vigo 109 Este
Mayaguez, PR 00680

Phone

(787) 834-7740

Fax

(787) 833-0868

NPI assigned

Nov 16, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jorge Justiniano, M.D.

Title

General Partner

Phone

(787) 833-0868

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1093016453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3049",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006813049",
            "telephone_number": "787-833-5613",
            "fax_number": "787-833-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MENDEZ VIGO 109 ESTE",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-834-7740",
            "fax_number": "787-833-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYAGUEZ SURGICAL JUSTINIANO SURIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "JUSTINIANO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "787-833-0868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": "PR",
            "license": "7142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1144438649",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgical Oncology Physician in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Surgical Oncology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.