Salud Directa de Puerto Rico

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SALUD DIRECTA DE PUERTO RICO

Practice address

Calle Luis Munoz Rivera #3
Vega Alta, PR 00692

Phone

(787) 883-0124

Fax

(787) 883-0222

NPI assigned

Mar 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mildalias Domiguez Pascual, M.D.

Title

President

Phone

(787) 883-0124

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1215107628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4317",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006944317",
            "telephone_number": "787-883-0124",
            "fax_number": "787-883-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE LUIS MUNOZ RIVERA #3",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "00692",
            "telephone_number": "787-883-0124",
            "fax_number": "787-883-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALUD DIRECTA DE PUERTO RICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "PASCUAL",
        "authorized_official_first_name": "MILDALIAS",
        "authorized_official_middle_name": "DOMIGUEZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-883-0124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dania Rosario Sostre, PSY.D
• Andrea Michelle Rosario
• Luz M Rosendo
• Noel Ruiz Jimenez, PSYD
• Damaris M. Ruiz
• Sonia San Miguel, PHL
• Aracelis Sanchez, O.T.
• Daisy A Sanders Nevarez, M.S
• Arelis M. Santana Marrero, MD
• Marisol Santiago Arce, M.D.

• General Practice Physician in Vega Alta, PR
• Providers in Vega Alta, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.