Organization Active NPI

Puerto Rico Inmunization Services

  • Medical Specialty Clinic/Center
  • San German, PR
National Provider Identifier
1396111456
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
9270 Issued in PR
Legal business name
PUERTO RICO INMUNIZATION SERVICES
Practice address
HC 3 Box 26509
San German, PR 00683-9301
Phone
(787) 505-2543
Fax
(787) 264-2760
NPI assigned
Aug 12, 2015
Last updated
Aug 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Authorized official

Name
Dr. Miguel A Suarez, M.D,NPI 1255321139
Title
President
Phone
(787) 505-2543

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 9270 PR Primary

Addresses

Primary practice location

HC 3 Box 26509
San German, PR 00683-9301

Mailing address

HC 3 Box 26509
San German, PR 00683-9301
Phone (787) 505-2543

National Provider Directory

National Provider Directory

Locations

26509 HC 3
San German, PR 00683
Phone (787) 505-2543

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439337600000",
    "number": "1396111456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 26509",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006839301",
            "telephone_number": "787-505-2543",
            "fax_number": "787-264-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 26509",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006839301",
            "telephone_number": "787-505-2543",
            "fax_number": "787-264-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUERTO RICO INMUNIZATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-08-12",
        "status": "A",
        "authorized_official_last_name": "SUAREZ",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-505-2543",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PR",
            "license": "9270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.