East West Medical Center PSC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

6524 Issued in PR

Legal business name

EAST WEST MEDICAL CENTER PSC

Practice address

570 Calle Cesar Gonzalez
Urb Baldrich
San Juan, PR 00918-3738

Phone

(787) 754-1535

Fax

(787) 754-1535

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Dweepkumar I Bangdiwala, M.D.

Title

Director

Phone

(787) 754-1535

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Ana Margarita Soto, M.D.

  • General Practice Physician
  • Toa Baja, PR
  • NPI 1083860662
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1356496665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 AVE WINSTON CHURCHILL",
            "address_2": "PMB-362",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266013",
            "telephone_number": "787-754-1535",
            "fax_number": "787-754-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 CALLE CESAR GONZALEZ",
            "address_2": "URB BALDRICH",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183738",
            "telephone_number": "787-754-1535",
            "fax_number": "787-754-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST WEST MEDICAL CENTER PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "BANGDIWALA",
        "authorized_official_first_name": "DWEEPKUMAR",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-754-1535",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "6524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.