Evernew Medical LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

EVERNEW MEDICAL LLC

Practice address

891 Calle 49 SE
San Juan, PR 00921-2319

Phone

(787) 232-0007

Fax

(850) 353-7180

NPI assigned

Oct 18, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Darlin Celeste Diaz-Gomez, MD

Title

Owner

Phone

(787) 342-7504

Specialties & licenses 2

Addresses

Other names 1

• Evernew Medspa LLC Former legal business name

Locations

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1215719711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2-2 PARKVILLE CT",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694751",
            "telephone_number": "787-342-7504",
            "fax_number": "850-353-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 CALLE 49 SE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009212319",
            "telephone_number": "787-232-0007",
            "fax_number": "850-353-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERNEW MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "DIAZ-GOMEZ",
        "authorized_official_first_name": "DARLIN",
        "authorized_official_middle_name": "CELESTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-342-7504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evernew Medspa LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Health Service Clinic/Center in San Juan, PR
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.