Sistema Viva Inc.

Primary specialty

Health EducatorTaxonomy code 174H00000X

License

997478 Issued in PR

Legal business name

SISTEMA VIVA INC.

Practice address

941 Calle Eider
Country Club
San Juan, PR 00924-2335

Phone

(787) 214-0941

NPI assigned

Nov 8, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Gilberto Luis Bauzo II

Title

Director

Phone

(787) 214-0941

Specialties & licenses 1

Addresses

Other names 1

• Sistema Viva Other name

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1174952246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 4",
            "address_2": "BOX 3494",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-214-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 CALLE EIDER",
            "address_2": "COUNTRY CLUB",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009242335",
            "telephone_number": "787-214-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISTEMA VIVA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-08",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "BAUZO",
        "authorized_official_first_name": "GILBERTO",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-214-0941",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": "PR",
            "license": "997478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sistema Viva",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Health Educator in San Juan, PR
• Providers in San Juan, PR by specialty
• Health Educator in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.