Active NPI
Ego Telehealth Services Inc
- Psychiatry Physician
- Carolina, PR
National Provider Identifier
1427453943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 18235
- Legal business name
- EGO TELEHEALTH SERVICES INC
- Practice address
- 4008 Ave. Sur Apt. 4401
Carolina, PR 00987 - Phone
- (787) 462-3218
- NPI assigned
- Oct 27, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Luis Joel Rivera, M.D.
- Title
- President
- Phone
- (787) 462-3218
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 18235 | PR | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 18235 | PR |
Addresses
Primary practice location
4008 Ave. Sur Apt. 4401
Carolina, PR 00987
Mailing address
4008 Ave. Sur Apt. 4401
Carolina, PR 00987
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1414368000000",
"number": "1427453943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4008 AVE. SUR APT. 4401",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4008 AVE. SUR APT. 4401",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00987",
"telephone_number": "787-462-3218"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EGO TELEHEALTH SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-27",
"last_updated": "2014-10-27",
"status": "A",
"authorized_official_last_name": "RIVERA",
"authorized_official_first_name": "LUIS",
"authorized_official_middle_name": "JOEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-462-3218",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PR",
"license": "18235",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "PR",
"license": "18235",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.