Idn. SVC Corp

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

12447 Issued in PR

Legal business name

IDN. SVC CORP

Practice address

Carr 2 KM 47.7
Manati, PR 00674

Phone

(787) 375-7474

NPI assigned

Mar 24, 2016

Last updated

Mar 24, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Wanda I Torres-Lopez

Title

President

Phone

(787) 375-7474

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1134581507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2362",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-375-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2 KM 47.7",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-375-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDN. SVC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "TORRES-LOPEZ",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-375-7474",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PR",
            "license": "12447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENCE",
            "identifier": "12447",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Instituto de Hematologia Y Oncologia Medico del Norte P.S.C.
• Instituto de Medicina de Familia de Manati CSP
• Instituto de Medicina Integrativa Y Psicoespiritual

• Infectious Disease Physician in Manati, PR
• Providers in Manati, PR by specialty
• Infectious Disease Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.