Intermed East LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

13901 Issued in PR

Legal business name

INTERMED EAST LLC

Practice address

Font Martelo 123 Street
Humacao, PR 00791

Phone

(787) 852-3417

Fax

(787) 859-7861

NPI assigned

Apr 25, 2014

Organization subpart

No

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

Authorized official

Name

Miss Idia L Velazquez

Title

M.D.

Phone

(787) 342-8201

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.

• Idia Liz Velazquez Lozada, M.D.

  • Internal Medicine Physician
  • Humacao, PR
  • NPI 1376570499
  Medicare reassignment

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

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398384000000",
    "number": "1154741395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1197",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007711197",
            "telephone_number": "787-342-8201",
            "fax_number": "787-850-7861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FONT MARTELO 123 STREET",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-852-3417",
            "fax_number": "787-859-7861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMED EAST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-25",
        "last_updated": "2014-04-25",
        "status": "A",
        "authorized_official_last_name": "VELAZQUEZ",
        "authorized_official_first_name": "IDIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "787-342-8201",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "13901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ivelisse Irizarry, M.D.
• Katiria Irizarry
• Roberto Irizarry, PSYD
• Wanda I Irizarry, MS SOCIAL WORK
• Irs Holistic Center Bienestar Salud Y Autonomia

• Internal Medicine Physician in Humacao, PR
• Providers in Humacao, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.