Eastern Puerto Rico Diabetes Care Center

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

EASTERN PUERTO RICO DIABETES CARE CENTER

Practice address

18 Calle Jorge Franceshi
Humacao, PR 00791-3915

Phone

(787) 852-5313

NPI assigned

Nov 29, 2017

Organization subpart

No

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

Authorized official

Name

Myriam Zahydee Allende-Vigo, MDNPI 1073517355

Title

Owner

Phone

(787) 852-5313

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Myriam Zahydee Allende-Vigo, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Humacao, PR
  • NPI 1073517355
  NPD Authorized official
• Marien Saade, RN

  • Diabetes Educator Registered Nurse
  • Humacao, PR
  • NPI 1184559072
  NPD (past)
• Elba Lopez

  • Metabolic Nutrition Registered Dietitian
  • Hanford, CA
  • NPI 1255360848
  NPD (past)

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511913600000",
    "number": "1235643107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 364246",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009364246",
            "telephone_number": "787-852-5313",
            "fax_number": "787-285-7319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CALLE JORGE FRANCESHI",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913915",
            "telephone_number": "787-852-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN PUERTO RICO DIABETES CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2017-11-29",
        "status": "A",
        "authorized_official_last_name": "ALLENDE-VIGO",
        "authorized_official_first_name": "MYRIAM",
        "authorized_official_middle_name": "ZAHYDEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-852-5313",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PR LICENSE BOARD",
            "identifier": "04962",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Eastern Industrial Medical Services,Inc.
• Eastern Retina Consultants of Puerto Rico, PSC
• Ecb Humacao LLC
• Ecovision Optical Services Inc
• ER Ped LLC
• Aixa Escobar Alejandro

• Health Service Clinic/Center in Humacao, PR
• Providers in Humacao, PR by specialty
• Health Service Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; 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.