Innovative Weight Loss Solutions, LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

14704 Issued in PR

Legal business name

INNOVATIVE WEIGHT LOSS SOLUTIONS, LLC

Practice address

101 Ave San Patricio Ste 1050
Guaynabo, PR 00968-3049

Phone

(787) 946-5220

Fax

(787) 946-5220

NPI assigned

Mar 3, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Federico Gregory-Gonzalez, MD

Title

President

Phone

(787) 946-5220

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1427418490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 AVE. LUIS VIGOREAUX",
            "address_2": "PMB 466",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-946-5220",
            "fax_number": "787-946-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 AVE SAN PATRICIO STE 1050",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009683049",
            "telephone_number": "787-946-5220",
            "fax_number": "787-946-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE WEIGHT LOSS SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "GREGORY-GONZALEZ",
        "authorized_official_first_name": "FEDERICO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-946-5220",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "14704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD",
            "identifier": "14704",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Gastroenterology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.