Toa Alta Family Clinic LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

9462 Issued in PR

Legal business name

TOA ALTA FAMILY CLINIC LLC

Practice address

G21 Calle 10 Carr 165 Int
Urb Villa Matilde
Toa Alta, PR 00953

Phone

(787) 870-7000

NPI assigned

Apr 18, 2018

Organization subpart

No

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

Authorized official

Name

Itza Doris Chevres, MDNPI 1669413720

Title

Owner

Phone

(939) 645-0504

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Itza Doris Chevres, M.D.

  • General Practice Physician
  • Toa Alta, PR
  • NPI 1669413720
  NPD (past) Authorized official

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1326535006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 867",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009540867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G21 CALLE 10 CARR 165 INT",
            "address_2": "URB VILLA MATILDE",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00953",
            "telephone_number": "787-870-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOA ALTA FAMILY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-18",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "CHEVRES",
        "authorized_official_first_name": "ITZA",
        "authorized_official_middle_name": "DORIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "939-645-0504",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "9462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Walfred Torres Davila, MD

• General Practice Physician in Toa Alta, PR
• Providers in Toa Alta, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.