Active NPI
Instituto de Medicina Avanzada Sunny Hills CSP
- Specialist
- Bayamon, PR
National Provider Identifier
1154399673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 10175
- Legal business name
- INSTITUTO DE MEDICINA AVANZADA SUNNY HILLS CSP
- Practice address
- B6 Ave Santa Juanita
Sunny Hills
Bayamon, PR 00956-5026 - Phone
- (787) 269-2641
- NPI assigned
- Mar 10, 2006
- 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. Carlos Alberto Correa, M.D.
- Title
- President
- Phone
- (787) 269-2641
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 10175 | PR | Primary |
Addresses
Primary practice location
B6 Ave Santa Juanita
Sunny Hills
Bayamon, PR 00956-5026
Mailing address
88 Calle Roble
Ciudad Jardin III
Toa Alta, PR 00953-4859
Phone (787) 269-2641
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110620000345 | PR | Part B Supplier - Clinic/Group Practice | 0244418341 |
Receives reassigned benefits from 2 practitioners Practice locations: Bayamon, PR |
National Provider Directory
National Provider DirectoryLocations
B7 Ave Santa Juanita
Bayamon, PR 00956
Phone (787) 269-2641
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1305763200000",
"number": "1154399673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 CALLE ROBLE",
"address_2": "CIUDAD JARDIN III",
"city": "TOA ALTA",
"state": "PR",
"postal_code": "009534859",
"telephone_number": "787-269-2641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "B6 AVE SANTA JUANITA",
"address_2": "SUNNY HILLS",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009565026",
"telephone_number": "787-269-2641"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSTITUTO DE MEDICINA AVANZADA SUNNY HILLS CSP",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-10",
"last_updated": "2011-05-19",
"status": "A",
"authorized_official_last_name": "CORREA",
"authorized_official_first_name": "CARLOS",
"authorized_official_middle_name": "ALBERTO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-269-2641",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "PR",
"license": "10175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
- Inspire Learning Center LLC
- Institucion Educativa Nets, LLC.
- Instituto Cardiovascular de Bayamon LLC
- Instituto de Cuidado del Seno
- Instituto de Enfermedades Pulmonares de P.R., C.S.P.
- Instituto de Urologia Avanzada CSP
- Instituto Gineco-Obstetrico Universitario, C.S.P.
- Instituto Metropolitano de Cardiologia
- Instituto Psicopedagogico de PR
- Instituto Psicopedagogico de PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; 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.