Organization Active NPI

Centro de Epilepsia Y Neurologia Avanzada,PSC

  • Clinical Neurophysiology Physician
  • Guaynabo, PR
National Provider Identifier
1306253729
Registry record updated Jul 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
Legal business name
CENTRO DE EPILEPSIA Y NEUROLOGIA AVANZADA,PSC
Practice address
101 Ave San Patricio
Maramar Plaza Ste 1270
Guaynabo, PR 00968-2645
Phone
(787) 751-2509
Fax
(787) 781-5307
NPI assigned
Jul 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2024

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

Authorized official

Name
Jose Arias Morales, MDNPI 1306028865
Title
President
Phone
(787) 203-1771

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Epilepsy PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084E0001X
Clinical Neurophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0600X Primary

Addresses

Primary practice location

101 Ave San Patricio
Maramar Plaza Ste 1270
Guaynabo, PR 00968-2645

Mailing address

596 Calle Cesar Gonzalez Apt 1124
San Juan, PR 00918-4355
Phone (787) 751-2509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140828001111 PR Part B Supplier - Clinic/Group Practice 9931327236 Receives reassigned benefits from 1 practitioner
Practice locations: Caguas, PR; Guaynabo, PR; Manati, Puerto Rico, PR

National Provider Directory

National Provider Directory

Locations

101 Ave San Patricio
Ste 1270
Guaynabo, PR 00968
Phone (787) 221-7540

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720051200000",
    "number": "1306253729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 CALLE CESAR GONZALEZ APT 1124",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009184355",
            "telephone_number": "787-751-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 AVE SAN PATRICIO",
            "address_2": "MARAMAR PLAZA STE 1270",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009682645",
            "telephone_number": "787-751-2509",
            "fax_number": "787-781-5307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE EPILEPSIA Y NEUROLOGIA AVANZADA,PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2024-07-04",
        "certification_date": "2024-07-04",
        "status": "A",
        "authorized_official_last_name": "ARIAS MORALES",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-203-1771",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084E0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.