NPIMap

Organization Active NPI

Grupo Medico Sala de Emergencia Dr.Enrique Koppish

  • Emergency Care Clinic/Center
  • San Juan, PR
National Provider Identifier
1306116454
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
License
5 Issued in PR
Legal business name
GRUPO MEDICO SALA DE EMERGENCIA DR.ENRIQUE KOPPISH
Practice address
Ave Barbosa 404
San Juan, PR 00925
Phone
(787) 480-3842
Fax
(787) 977-0544
NPI assigned
Jan 6, 2012
Organization subpart
Yes
Parent organization
CENTRO MAS SALUD DR.ENRIQUE KOPPISCHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Authorized official

Name
Maritza Vega, MBA HCM
Title
Executive Sub-Director
Phone
(787) 480-3841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X 5 PR Primary

Addresses

Primary practice location

Ave Barbosa 404
San Juan, PR 00925

Mailing address

Calle Sicilia Ave Barbosa 404
San Juan, PR 00925
Phone (787) 480-3842

National Provider Directory

National Provider Directory
Tax ID family
Grupo Medico Sala de Emergencia Dr Jose S Belaval3 organizations share this tax ID, including this one
Part of
Grupo Medico Sala de Emergencia Dr Jose S Belaval

Other organizations with this tax ID 2

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": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1306116454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE SICILIA AVE BARBOSA 404",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00925",
            "telephone_number": "787-480-3842",
            "fax_number": "787-977-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE BARBOSA 404",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00925",
            "telephone_number": "787-480-3842",
            "fax_number": "787-977-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUPO MEDICO SALA DE EMERGENCIA DR.ENRIQUE KOPPISH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRO MAS SALUD DR.ENRIQUE KOPPISCH",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "VEGA",
        "authorized_official_first_name": "MARITZA",
        "authorized_official_title_or_position": "EXECUTIVE SUB-DIRECTOR",
        "authorized_official_telephone_number": "787-480-3841",
        "authorized_official_credential": "MBA HCM"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "PR",
            "license": "5",
            "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 Jan 6, 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.