Organization Active NPI

Sirtac Enterprises, Inc.

  • Clinic/Center
  • San Juan, PR
National Provider Identifier
1205006814
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
4145 Issued in PR
Legal business name
SIRTAC ENTERPRISES, INC.
Doing business as
Innovative Care
Practice address
735 Ave Ponce de Leon
Torre Medica Auxilio Mutuo Suite 604
San Juan, PR 00917-5022
Phone
(787) 281-7777
Fax
(787) 281-7777
NPI assigned
Mar 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Authorized official

Name
Dr. Jose E Silva, MD
Title
Medical Director
Phone
(787) 281-7777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 4145 PR Primary

Addresses

Primary practice location

735 Ave Ponce de Leon
Torre Medica Auxilio Mutuo Suite 604
San Juan, PR 00917-5022

Mailing address

735 Ponce de Leon Ave
Torre Medica Auxilio Mutuo Suite 604
San Juan, PR 00917-5022
Phone (787) 281-7777

Other names 1

  • Innovative Care Doing business as

National Provider Directory

National Provider Directory

Locations

735 Ave Ponce de Leon
Ste 604
San Juan, PR 00917
Phone (787) 281-6446

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1205006814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 PONCE DE LEON AVE",
            "address_2": "TORRE MEDICA AUXILIO MUTUO SUITE 604",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175022",
            "telephone_number": "787-281-7777",
            "fax_number": "787-281-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON",
            "address_2": "TORRE MEDICA AUXILIO MUTUO SUITE 604",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175022",
            "telephone_number": "787-281-7777",
            "fax_number": "787-281-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIRTAC ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "787-281-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": "4145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 11, 2008; 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.