Avantsurgical PR PSC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

17884 Issued in PR

Legal business name

AVANTSURGICAL PR PSC

Practice address

29 Washington Street
Ashford Medical Center Suite 505
San Juan, PR 00907

Phone

(787) 721-2243

Fax

(787) 721-2204

NPI assigned

Mar 15, 2015

Last updated

Jul 16, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eduardo Luis Chinea, M.D.

Title

President

Phone

(787) 242-2085

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 5

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.

• Eduardo Luis Chinea-Amadeo, MD

  • Surgery Physician
  • San Juan, PR
  • NPI 1447455522
  Medicare reassignment
• Monica Cespedes Santana, MD

  • Infectious Disease Physician
  • San Juan, PR
  • NPI 1114204161
  NPD
• Daniel Conde-Sterling, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • San Juan, PR
  • NPI 1902859630
  NPD (past)
• Juan J Diaz Hernandez, M.D.

  • Surgery Physician
  • San Juan, PR
  • NPI 1114121894
  NPD (past)
• Jocelin Jones Molina, MD

  • Pain Medicine (Anesthesiology) Physician
  • Arecibo, PR
  • NPI 1982141438
  NPD (past)

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

{
    "created_epoch": "1426377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1205229200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G-9 AVE SAN PATRICIO",
            "address_2": "APT 101",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00968",
            "telephone_number": "787-242-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 WASHINGTON STREET",
            "address_2": "ASHFORD MEDICAL CENTER SUITE 505",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-721-2243",
            "fax_number": "787-721-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANTSURGICAL PR PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-15",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "CHINEA",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-242-2085",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "17884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "17884",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PROVIDER NPI",
            "identifier": "1447455522",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Auxilio Mutuo Hospital
• Auxilio Mutuo Hospital
• Auxilio Pediatrico
• Auxilio Salud Plus Inc. (Auxilio Salud Plus Clinic)
• Av Anesthesiology Group PSC
• Nicole Ivette Avellanet Crespo
• Avery J Knapp Jr MD, P.C. (PI Care)
• Jace Varo Avetisyan, MD
• Gladys Avezuela
• Yaimirex Avila Guerrero, PHL

• Surgery Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Surgery Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.