Instituto de Flebologia Y Medicina de Familia CSP

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

7634 Issued in PR

Legal business name

INSTITUTO DE FLEBOLOGIA Y MEDICINA DE FAMILIA CSP

Practice address

Y24 Ave Luis Munoz Marin
Mariolga
Caguas, PR 00725-6478

Phone

(787) 743-2670

Fax

(787) 743-2670

NPI assigned

Jan 11, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Rafael Jaime Archilla Isern

Title

Medico

Phone

(787) 743-2670

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297987200000",
    "number": "1386949014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 AVE RAFAEL CORDERO # 261",
            "address_2": "STE. 140",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253740",
            "telephone_number": "787-743-2670",
            "fax_number": "787-743-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "Y24 AVE LUIS MUNOZ MARIN",
            "address_2": "MARIOLGA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007256478",
            "telephone_number": "787-743-2670",
            "fax_number": "787-743-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTO DE FLEBOLOGIA Y MEDICINA DE FAMILIA CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2011-02-18",
        "status": "A",
        "authorized_official_last_name": "ARCHILLA ISERN",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "JAIME",
        "authorized_official_title_or_position": "MEDICO",
        "authorized_official_telephone_number": "787-743-2670",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "PR",
            "license": "7634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Clinic/Center in Caguas, PR
• Providers in Caguas, PR by specialty
• Pain Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; 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.