Dr Osorio C.S.P

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

6306 Issued in PR

Legal business name

DR OSORIO C.S.P

Practice address

Calle Manuel B Malave Numero 15
Anasco, PR 00610-0000

Phone

(787) 826-2858

Fax

(787) 826-6428

NPI assigned

Jan 29, 2014

Last updated

Jan 29, 2014By 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. Edisson H Osorio, M.D.

Title

Doctor

Phone

(787) 955-6440

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

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.

• Edisson H. Osorio Cueva, MD

  • General Practice Physician
  • Anasco, PR
  • NPI 1134254691

  Primary Care

  Medicare reassignment NPD

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1144643073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "city": "RINCON",
            "state": "PR",
            "postal_code": "006770159",
            "telephone_number": "787-826-2858",
            "fax_number": "787-826-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE MANUEL B MALAVE NUMERO 15",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "006100000",
            "telephone_number": "787-826-2858",
            "fax_number": "787-826-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR OSORIO C.S.P",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "OSORIO",
        "authorized_official_first_name": "EDISSON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "787-955-6440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PR",
            "license": "6306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Anasco, PR
• Providers in Anasco, PR by specialty
• Primary Care Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.