Magnetic Healer of PR, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MAGNETIC HEALER OF PR, INC

Practice address

Progreso Street #54 Corona Office Park
San Juan, PR 00918

Phone

(787) 564-4358

NPI assigned

Aug 4, 2021

Last updated

Oct 7, 2021By 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

Elberto Berdut

Title

President

Phone

(787) 564-4358

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1326712217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8787",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009100787",
            "telephone_number": "787-725-5641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PROGRESO STREET #54 CORONA OFFICE PARK",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-564-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNETIC HEALER OF PR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "BERDUT",
        "authorized_official_first_name": "ELBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-564-4358"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "590975878",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlos C Maestre-Fernandez, M.D.
• Barbara Maestre, M.D.
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• Magaly Flores Verdejo (Laboratorio Clinico Flores)
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• Priscilla Magno, M.D.
• Kathleen Magruder, M.D.
• Patrick Anthony Maher
• Daniela Mahiques
• Zulmarie Maisonet Feliciano, MD

• Durable Medical Equipment & Medical Supplies in San Juan, PR
• Providers in San Juan, PR by specialty
• Durable Medical Equipment & Medical Supplies in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.