Individual provider Active NPI

Ivan M. Paz, NL, ND

  • Naturopath
  • San Juan, PR
National Provider Identifier
1235780693
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
000096 Issued in PR
Practice address
120 Villa Nevarez Professional Building , St. 2
Suite 305
San Juan, PR 00927-5345
Phone
(787) 282-7979
Fax
(787) 763-4481
NPI assigned
Sep 26, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 000096 PR Primary

Addresses

Primary practice location

120 Villa Nevarez Professional Building , St. 2
Suite 305
San Juan, PR 00927-5345

Mailing address

120 Villa Nevarez Professional Building, St. 2
Suite 305
San Juan, PR 00927-5345
Phone (787) 282-7979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
000096PRMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1235780693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 VILLA NEVAREZ PROFESSIONAL BUILDING, ST. 2",
            "address_2": "SUITE 305",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009275345",
            "telephone_number": "787-282-7979",
            "fax_number": "787-763-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 VILLA NEVAREZ PROFESSIONAL BUILDING , ST. 2",
            "address_2": "SUITE 305",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009275345",
            "telephone_number": "787-282-7979",
            "fax_number": "787-763-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAZ",
        "first_name": "IVAN",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "NL, ND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "PR",
            "license": "000096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.