Universidad de Puerto Rico de Cayey

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

UNIVERSIDAD DE PUERTO RICO DE CAYEY

Doing business as

Plan de Practica Intramular

Practice address

Ave Antonio R Barcelo
205
Cayey, PR 00736

Phone

(787) 738-2161

NPI assigned

Mar 29, 2012

Last updated

Mar 29, 2012By 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. Jose Colon

Title

Credentialing Coordinator

Phone

(787) 738-2161

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Plan de Practica Intramular Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Idelisse Balbes, M.D.

  • General Practice Physician
  • Cayey, PR
  • NPI 1942414586
  NPD (past)

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1306112792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE ANTONIO R BARCELO",
            "address_2": "205",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00736",
            "telephone_number": "787-738-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE ANTONIO R BARCELO",
            "address_2": "205",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00736",
            "telephone_number": "787-738-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSIDAD DE PUERTO RICO DE CAYEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "COLON",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "787-738-2161",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPMI GROUP",
            "identifier": "13",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plan de Practica Intramular",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yanitza Toste Lopez, DC
• Yarelis Toste, MS, JD
• Adamary Triana, LIC
• Trinidad Professional Services Inc
• Marta Trinidad
• Vaccine Provider LLC
• Eliezer Vargas Perez
• Roberto Jesus Vargas Rios
• Yanira Vargas-Aponte
• Vascular Institute of Puerto Rico LLC

• Dermatology Physician in Cayey, PR
• Providers in Cayey, PR by specialty
• Dermatology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.