Organization Active NPI

Elite Pulmonary Care Center PSC

  • Pulmonary Disease Physician
  • San German, PR
National Provider Identifier
1194228304
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
17669 Issued in PR
Legal business name
ELITE PULMONARY CARE CENTER PSC
Practice address
Carr 2 Torre Medica San Vicente de Paul
Oficina 402
San German, PR 00683
Phone
(787) 630-2353
Fax
(787) 254-9522
NPI assigned
Mar 14, 2018
Last updated
Mar 14, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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

Authorized official

Name
Dr. Maria del Mar Torres-Perez, MDNPI 1396907622
Title
President
Phone
(787) 643-5075

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 17669 PR
Pulmonary Disease Physician 207RP1001X 17669 PR Primary

Addresses

Primary practice location

Carr 2 Torre Medica San Vicente de Paul
Oficina 402
San German, PR 00683

Mailing address

PO Box 203
Cabo Rojo, PR 00623-0203
Phone (787) 630-2353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210423001259 PR Part B Supplier - Clinic/Group Practice 4880002252 Receives reassigned benefits from 1 practitioner
Practice locations: San German, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520985600000",
    "number": "1194228304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 203",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006230203",
            "telephone_number": "787-630-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2 TORRE MEDICA SAN VICENTE DE PAUL",
            "address_2": "OFICINA 402",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-630-2353",
            "fax_number": "787-254-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PULMONARY CARE CENTER PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A",
        "authorized_official_last_name": "TORRES-PEREZ",
        "authorized_official_first_name": "MARIA DEL MAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-643-5075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PR",
            "license": "17669",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PR",
            "license": "17669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; 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.