NPIMap

Organization Active NPI

Antilles Foot Clinic

  • Foot & Ankle Surgery Podiatrist
  • Puerto Nuevo, PR
National Provider Identifier
1104002732
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0049 Issued in PR
Legal business name
ANTILLES FOOT CLINIC
Practice address
1229 Ave Jesus T Pinero
Puerto Nuevo, PR 00920-5502
Phone
(787) 783-6650
Fax
(787) 783-5578
NPI assigned
Jan 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Authorized official

Name
Dr. Roberto Sanchez CordovaNPI 1174622096
Title
President
Phone
(787) 783-6650

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 0049 PR Primary

Addresses

Primary practice location

1229 Ave Jesus T Pinero
Puerto Nuevo, PR 00920-5502

Mailing address

PO Box 366987
San Juan, PR 00936
Phone (787) 783-6650

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1104002732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366987",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00936",
            "telephone_number": "787-783-6650",
            "fax_number": "787-783-5578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 AVE JESUS T PINERO",
            "city": "PUERTO NUEVO",
            "state": "PR",
            "postal_code": "009205502",
            "telephone_number": "787-783-6650",
            "fax_number": "787-783-5578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTILLES FOOT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ CORDOVA",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-783-6650",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PR",
            "license": "0049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puerto Nuevo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.