NPIMap

Organization Active NPI

Integrated Primary Organization Southeast Inc

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1285075747
Registry record updated Jul 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
9498 Issued in PR
Legal business name
INTEGRATED PRIMARY ORGANIZATION SOUTHEAST INC
Practice address
1551 Calle Alda
Urb Caribe
San Juan, PR 00926-2709
Phone
(787) 625-2500
NPI assigned
Jul 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2013

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

Authorized official

Name
Dr. Jose R Santiago Torres
Title
Director
Phone
(787) 625-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 9498 PR Primary

Addresses

Primary practice location

1551 Calle Alda
Urb Caribe
San Juan, PR 00926-2709

Mailing address

1551 Calle Alda
Urb Caribe
San Juan, PR 00926-2709

National Provider Directory

National Provider Directory
Tax ID family
Integrated Primary Organization Southeast Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373587200000",
    "number": "1285075747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 CALLE ALDA",
            "address_2": "URB CARIBE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009262709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 CALLE ALDA",
            "address_2": "URB CARIBE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009262709",
            "telephone_number": "787-625-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED PRIMARY ORGANIZATION SOUTHEAST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-12",
        "last_updated": "2013-07-12",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO TORRES",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-625-2500",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "9498",
            "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 Jul 12, 2013; 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.