Panriv Medical Services Corp.

Primary specialty

Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X

Legal business name

PANRIV MEDICAL SERVICES CORP.

Practice address

Carr 688 KM 4.1 Parc 215 Bo Sabana
Vega Baja, PR 00694

Phone

(787) 608-8207

Fax

(787) 854-2000

NPI assigned

Dec 7, 2009

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jaime Xavier Pantoja

Title

President

Phone

(787) 608-8207

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1437488269",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "BOX 8885",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 688 KM 4.1 PARC 215 BO SABANA",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00694",
            "telephone_number": "787-608-8207",
            "fax_number": "787-854-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANRIV MEDICAL SERVICES CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PANTOJA",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "XAVIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-608-8207",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiara Nahir Otero, D.M.D.
• P.R. Clinical Reference Laboratory Inc
• Sullybeth Pabon
• Joann Alyssa Padilla, MD
• Rosa Marie Pagan, PA
• Carlos Josue Pantoja, M.S.
• Idanis Pantoja
• Jose Pantoja
• Migdalia Pantoja, RPH
• Zulma Janet Pantoja, TO

• Family Health Clinical Nurse Specialist in Vega Baja, PR
• Providers in Vega Baja, PR by specialty
• Family Health Clinical Nurse Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.