Northeastern, Pna Corp

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

NORTHEASTERN, PNA CORP

Practice address

Ave Roberto Clemente Bloq 132 # 11
Villa Carolina
Carolina, PR 00985

Phone

(787) 257-0709

Fax

(787) 276-4275

NPI assigned

Dec 6, 2011

Last updated

Dec 6, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Waldemar Hess, R PH

Title

President

Phone

(787) 257-0709

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1285902171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3628",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009853628",
            "telephone_number": "787-257-0709",
            "fax_number": "787-276-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE ROBERTO CLEMENTE BLOQ 132 # 11",
            "address_2": "VILLA CAROLINA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00985",
            "telephone_number": "787-257-0709",
            "fax_number": "787-276-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEASTERN, PNA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "HESS",
        "authorized_official_first_name": "WALDEMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-257-0709",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R PH"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norega Laboratories
• North Eastern Cardiology Group, Inc
• North Eastern Surgery Group Corp
• Northeastern Endocrinology, LLC
• Northeastern Medical Network L.L.C.
• Myrna M Nunez Oben
• Axel Alejandro Nunez Rivera, MD
• Juan Rafael Nunez, M.D.
• Liz Dalianis Nunez
• Naysha Priscilla Nunez, MD

• Contractor in Carolina, PR
• Providers in Carolina, PR by specialty
• Contractor in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.