Organization Active NPI

Banucci Institute

  • Dermatology Physician
  • San Juan, PR
National Provider Identifier
1174657340
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
BANUCCI INSTITUTE
Practice address
302 Ave. Domenech
San Juan, PR 00918
Phone
(787) 759-7490
Fax
(787) 759-7150
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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

Authorized official

Name
Dr. Isabel M. Banuchi, M.D.
Title
Owner
Phone
(787) 759-7490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X PR Primary

Addresses

Primary practice location

302 Ave. Domenech
San Juan, PR 00918

Mailing address

551 Calle Trigo
San Juan, PR 00907-2511
Phone (787) 759-7490

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1174657340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 CALLE TRIGO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009072511",
            "telephone_number": "787-759-7490",
            "fax_number": "787-759-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 AVE. DOMENECH",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-759-7490",
            "fax_number": "787-759-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANUCCI INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "BANUCHI",
        "authorized_official_first_name": "ISABEL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-759-7490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 1, 2015; 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.