Organization Active NPI

Island Surgical Associates LLC

  • Surgery Physician
  • Mayaguez, PR
National Provider Identifier
1417739087
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ISLAND SURGICAL ASSOCIATES LLC
Doing business as
Island Surgical Associates LLC
Practice address
Mayaguez Medical Center
401 Hostos Ave Street 2 Office 125
Mayaguez, PR 00681
Phone
(787) 646-4331
NPI assigned
Oct 18, 2023
Last updated
Oct 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Authorized official

Name
Ms. Minerva Luna, MD
Title
Presidenta
Phone
(787) 646-4331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

Mayaguez Medical Center
401 Hostos Ave Street 2 Office 125
Mayaguez, PR 00681

Mailing address

PO Box 3627
Mayaguez, PR 00681-3627
Phone (787) 705-4545

Other names 1

  • Island Surgical Associates LLC Doing business as

National Provider Directory

National Provider Directory

Locations

401 Ave Hostos
Ofc 125
Mayaguez, PR 00680
Phone (787) 646-4331

NPI Registry JSON

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1417739087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3627",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006813627",
            "telephone_number": "787-705-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MAYAGUEZ MEDICAL CENTER",
            "address_2": "401 HOSTOS AVE STREET 2 OFFICE 125",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00681",
            "telephone_number": "787-646-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND SURGICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "LUNA",
        "authorized_official_first_name": "MINERVA",
        "authorized_official_title_or_position": "PRESIDENTA",
        "authorized_official_telephone_number": "787-646-4331",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island Surgical Associates LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.