Sirius Health PSC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

15385 Issued in PR

Legal business name

SIRIUS HEALTH PSC

Practice address

23 Calle Aguas Buenas
Boneville Heights
Caguas, PR 00727-4947

Phone

(787) 565-8558

NPI assigned

Jun 15, 2009

Organization subpart

No

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

Authorized official

Name

Nanette Amanda Ortiz, M.D.

Title

Physician

Phone

(787) 565-8558

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276819200000",
    "number": "1215164579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 CALLE FLAMBOYAN",
            "address_2": "BOSQUE LLANO",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "007549984",
            "telephone_number": "787-565-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CALLE AGUAS BUENAS",
            "address_2": "BONEVILLE HEIGHTS",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007274947",
            "telephone_number": "787-565-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIRIUS HEALTH PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-15",
        "last_updated": "2010-06-18",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "NANETTE",
        "authorized_official_middle_name": "AMANDA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "787-565-8558",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "15385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Caguas, PR
• Providers in Caguas, 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 Jun 18, 2010; 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.