Organization Active NPI

Rednostic

  • Health Service Clinic/Center
  • San Juan, PR
National Provider Identifier
1376949933
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
17615 Issued in PR
Legal business name
REDNOSTIC
Practice address
11 Ave Simon Madera
San Juan, PR 00924-2231
Phone
(787) 420-4054
NPI assigned
Nov 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Authorized official

Name
Dr. Reynaldo Pezzotti Smith, MD
Title
President
Phone
(787) 420-4054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 17615 PR Primary

Addresses

Primary practice location

11 Ave Simon Madera
San Juan, PR 00924-2231

Mailing address

781 Via de la Hermita
Hacienda San Jose
Caguas, PR 00727-3101
Phone (787) 420-4054

National Provider Directory

National Provider Directory

Locations

11 Ave Simon Madera
San Juan, PR 00924
Phone (787) 420-4054

NPI Registry JSON

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1376949933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 VIA DE LA HERMITA",
            "address_2": "HACIENDA SAN JOSE",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007273101",
            "telephone_number": "787-420-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 AVE SIMON MADERA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009242231",
            "telephone_number": "787-420-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDNOSTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "PEZZOTTI SMITH",
        "authorized_official_first_name": "REYNALDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-420-4054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "PR",
            "license": "17615",
            "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 Nov 10, 2014; 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.