Organization Active NPI

Endohealth LLC

  • Medical Specialty Clinic/Center
  • Caguas, PR
National Provider Identifier
1194251512
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
18803 Issued in PR
Legal business name
ENDOHEALTH LLC
Practice address
4 BS Ave Las Americas
Urb Bairoa
Caguas, PR 00725
Phone
(787) 974-7868
NPI assigned
May 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Authorized official

Name
Viviana M Ortiz-SantiagoNPI 1407114945
Title
Sole Member
Phone
(787) 974-7868

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 18803 PR Primary

Addresses

Primary practice location

4 BS Ave Las Americas
Urb Bairoa
Caguas, PR 00725

Mailing address

1575 Ave Munoz Rivera
PMB 121
Ponce, PR 00717-0211
Phone (787) 974-7868

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171116001479 PR Part B Supplier - Clinic/Group Practice 6608132188 Receives reassigned benefits from 1 practitioner
Practice locations: San German, PR

National Provider Directory

National Provider Directory

Locations

1 Calle Ferrocarril
Ste 1
San German, PR 00683
Phone (787) 978-3064

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": "1493856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493856000000",
    "number": "1194251512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 AVE MUNOZ RIVERA",
            "address_2": "PMB 121",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170211",
            "telephone_number": "787-974-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BS AVE LAS AMERICAS",
            "address_2": "URB BAIROA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-974-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOHEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-04",
        "last_updated": "2017-05-04",
        "status": "A",
        "authorized_official_last_name": "ORTIZ-SANTIAGO",
        "authorized_official_first_name": "VIVIANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "787-974-7868"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PR",
            "license": "18803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.