Policlinica del Carmen

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

15413 Issued in PR

Legal business name

POLICLINICA DEL CARMEN

Practice address

Munoz Rivera #208
Penuelas, PR 00624

Phone

(787) 836-0419

Fax

(787) 836-0419

NPI assigned

Sep 9, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Ileana Echevarria, MD

Title

Medical Director

Phone

(787) 836-0419

Specialties & licenses 1

Addresses

Practitioners 2

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

• Ileana Echevarria Martinez, M.D.

  • General Practice Physician
  • Penuelas, PR
  • NPI 1780682385
  NPD (past)
• Juan G Santiago Vega, 17561

  • General Practice Physician
  • Penuelas, PR
  • NPI 1295960268
  NPD (past)

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1093963514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 999",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "00624",
            "telephone_number": "787-836-0419",
            "fax_number": "787-836-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MUNOZ RIVERA #208",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "00624",
            "telephone_number": "787-836-0419",
            "fax_number": "787-836-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLICLINICA DEL CARMEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "ECHEVARRIA",
        "authorized_official_first_name": "ILEANA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "787-836-0419",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "15413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emely Joan Perez Ramirez, PHD
• Betsaida Perez
• Ingrid Perez, BSN
• Maria A Perez, R.PH.
• Maria Isabel Perez
• Virgilio Aritidy Polonio, MD
• Promedical Ambulance Service Inc
• Guillermina Quinones Irizarry, RN
• Jose Edwin Quinones Vazquez, MD
• Daisy Quiros, M.D.

• General Practice Physician in Penuelas, PR
• Providers in Penuelas, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.