Active NPI
SB Systems LLC
- General Practice Physician
- San Juan, PR
National Provider Identifier
1104349158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- SB SYSTEMS LLC
- Practice address
- 111 Marginal Ave FD Roosevelt 6 a Cond Escorial
San Juan, PR 00917-2736 - Phone
- (787) 318-4442
- NPI assigned
- Jul 21, 2017
- Last updated
- Jul 21, 2017
- 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
- Sergio Bogoljubskij
- Title
- Presidente
- Phone
- (787) 318-4442
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 7046 | MA | |
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
111 Marginal Ave FD Roosevelt 6 a Cond Escorial
San Juan, PR 00917-2736
Mailing address
111 Roosevelt Avenue Cond Escorial Apt 6 a
San Juan, PR 00917-2714
Other names 1
- SB SYSTEMS LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mechanotherapist
- San Juan, PR
- NPI 1386953446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1500595200000",
"number": "1104349158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 ROOSEVELT AVENUE COND ESCORIAL APT 6 A",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009172714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 MARGINAL AVE FD ROOSEVELT 6 A COND ESCORIAL",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009172736",
"telephone_number": "787-318-4442"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SB SYSTEMS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-21",
"last_updated": "2017-07-21",
"status": "A",
"authorized_official_last_name": "BOGOLJUBSKIJ",
"authorized_official_first_name": "SERGIO",
"authorized_official_title_or_position": "PRESIDENTE",
"authorized_official_telephone_number": "787-318-4442"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Mechanotherapist",
"state": "MA",
"license": "7046",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SB SYSTEMS LLC",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "SB SYSTEMS LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 Jul 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.