Organization Active NPI

Neurologicmd P.S.C.

  • Health Service Clinic/Center
  • San Juan, PR
National Provider Identifier
1104107697
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
16446 Issued in PR
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

Updated by the provider on Aug 29, 2011

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)CodeLicenseStatePrimary
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 PSC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.