Levittown Clinical Center PSC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

LEVITTOWN CLINICAL CENTER PSC

Practice address

Ave Los Dominicos RH 8
Levittown, PR 00949

Phone

(787) 998-7462

Fax

(787) 998-7542

NPI assigned

Apr 24, 2008

Last updated

May 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Roberto Martinez-Suarez, PHD-HCM, MS

Title

Administrator

Phone

(787) 998-7462

Specialties & licenses 1

Addresses

Other names 1

• Levittown Medical Group Other name

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1093980658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1784",
            "city": "SABANA SECA",
            "state": "PR",
            "postal_code": "009521784",
            "telephone_number": "787-998-7462",
            "fax_number": "787-998-7542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE LOS DOMINICOS RH 8",
            "city": "LEVITTOWN",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-998-7462",
            "fax_number": "787-998-7542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVITTOWN CLINICAL CENTER PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ-SUAREZ",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-998-7462",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD-HCM, MS"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Levittown Medical Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Yamil Cruz, RPH
• Temistocles Disla, M.D.
• Jose M Encarnacion-Cruz, MD
• Kelaris Estevez
• Ada F Faria, D.D.S.
• Nanette R Mendez, DMD
• Gino Miguel Muniz, M.A.
• Ivette Amalia Perez-Pagan, M.D.
• Nydia P. Perez, O.D.
• Waleska Pillich Ortiz, CRNA

• General Practice Physician in Levittown, PR
• Providers in Levittown, 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 May 19, 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.