Active NPI
Neurologicmd P.S.C.
- Health Service Clinic/Center
- San Juan, PR
National Provider Identifier
1104107697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 16446
- Legal business name
- NEUROLOGICMD P.S.C.
- Practice address
- Ave Jesus T Pinero # 282
Edificio Plaza El Amal Suite 210
San Juan, PR 00918-4003 - Phone
- (787) 772-5555
- Fax
- (787) 772-3535
- NPI assigned
- Aug 29, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eliud Irizarry Claudio, M.D.
- Title
- President
- Phone
- (787) 772-5555
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 16446 | PR | Primary |
Addresses
Primary practice location
Ave Jesus T Pinero # 282
Edificio Plaza El Amal Suite 210
San Juan, PR 00918-4003
Mailing address
Ave Jesus T Pinero # 282
Edificio Plaza El Amal Suite 210
San Juan, PR 00918-4003
Phone (787) 772-5555
National Provider Directory
National Provider Directory- Tax ID family
- Neurologicmd PSC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Medical Specialty Clinic/Center
- San Juan, PR
- NPI 1528349750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314576000000",
"number": "1104107697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "AVE JESUS T PINERO # 282",
"address_2": "EDIFICIO PLAZA EL AMAL SUITE 210",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009184003",
"telephone_number": "787-772-5555",
"fax_number": "787-772-3535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE JESUS T PINERO # 282",
"address_2": "EDIFICIO PLAZA EL AMAL SUITE 210",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009184003",
"telephone_number": "787-772-5555",
"fax_number": "787-772-3535"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROLOGICMD P.S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-29",
"last_updated": "2011-08-29",
"status": "A",
"authorized_official_last_name": "IRIZARRY CLAUDIO",
"authorized_official_first_name": "ELIUD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-772-5555",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "PR",
"license": "16446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.