NPIMap

Organization Active NPI

Eastern Advanced Health Care

  • Legal Medicine
  • Humacao, PR
National Provider Identifier
1457548703
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Legal business name
EASTERN ADVANCED HEALTH CARE
Practice address
59 Calle Dufresne W
Humacao, PR 00791-3609
Phone
(787) 850-1858
NPI assigned
Oct 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Authorized official

Name
Mr. Melvin Rodriguez Torres
Title
Administrator
Phone
(787) 850-1858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193200000X MULTI-SPECIALTY GROUP 173000000X Primary

Addresses

Primary practice location

59 Calle Dufresne W
Humacao, PR 00791-3609

Mailing address

59W Calle Dufresne W
Humacao, PR 00791-3609
Phone (787) 850-1858

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1457548703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59W CALLE DUFRESNE W",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913609",
            "telephone_number": "787-850-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 CALLE DUFRESNE W",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913609",
            "telephone_number": "787-850-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN ADVANCED HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "RODRIGUEZ",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-850-1858",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.