Policlinica Ileanmarie PSC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

POLICLINICA ILEANMARIE PSC

Practice address

1803 Calle Kennedy
San Antonio, PR 00690

Phone

(787) 890-1674

NPI assigned

Aug 26, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Ileana Albino Cruz, M.D.NPI 1487644407

Title

President

Phone

(787) 890-1674

Specialties & licenses 1

Addresses

Other names 1

• POLICLINICA ILEANMARIE PSC Former legal business name

Locations

Practitioners 1

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

• Ileana Albino Cruz, M.D

  • General Practice Physician
  • San Antonio, PR
  • NPI 1487644407
  NPD (past) Authorized official

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1104059062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 CALLE KENNEDY",
            "city": "SAN ANTONIO",
            "state": "PR",
            "postal_code": "006901210",
            "telephone_number": "787-890-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 CALLE KENNEDY",
            "city": "SAN ANTONIO",
            "state": "PR",
            "postal_code": "00690",
            "telephone_number": "787-890-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLICLINICA ILEANMARIE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "ALBINO CRUZ",
        "authorized_official_first_name": "ILEANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-890-1674",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POLICLINICA ILEANMARIE PSC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Indhira A. Oliveras, PHARMACY TECNICHIAN
• Optiquette LLC
• Almanzar Perez Vasquez, MD
• Geormay Perez, LCSW
• Jessica Perez
• Jorge Luis Rodriguez Badillo
• Jahaira Suarez, MD
• Sheily M Torres Santiago, PSY. D
• V and P Medical Equipment Inc
• Wilfredo Vega Pagan, M.D.

• General Practice Physician in San Antonio, PR
• Providers in San Antonio, 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 Aug 26, 2009; 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.