Cirugia General Y Periferovascular del Noreste, CSP

Primary specialty

SpecialistTaxonomy code 174400000X

License

9988 Issued in PR

Legal business name

CIRUGIA GENERAL Y PERIFEROVASCULAR DEL NORESTE, CSP

Practice address

Hosp. Hima San Pablo
Oficina #7
Fajardo, PR 00738

Phone

(787) 655-0505

Fax

(787) 863-2145

NPI assigned

Jun 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jose L Pagan, M.D.

Title

President

Phone

(787) 655-0505

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Mariely Maldonado, CCC- SLP

  • Speech-Language Pathologist
  • Las Piedras, PR
  • NPI 1396920997
  NPD (past)
• John N Velazquez Rodriguez, M.D.

  • General Practice Physician
  • Fajardo, PR
  • NPI 1205854569
  NPD (past)

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467657262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70005",
            "address_2": "PMB 234",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007387005",
            "telephone_number": "787-655-0505",
            "fax_number": "787-863-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSP. HIMA SAN PABLO",
            "address_2": "OFICINA #7",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-655-0505",
            "fax_number": "787-863-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRUGIA GENERAL Y PERIFEROVASCULAR DEL NORESTE, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAGAN",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-655-0505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "9988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centro Podiatrico Dr. Rivera Esquerdo PSC
• Centro Senologia Dra Magda Costa
• Jean-Luc Charlot, MD
• Carmen Cintron, RDN, LND, IBCLC
• Jose Luis Cintron, M.D.
• Cita-Med Inc
• Milagros Y Claudio, OP
• Clinica de Servicios Psicologicos Despertar LLC
• Clinica Quiropractica Atletica Y Regenerativa LLC
• Clinica Quiropractica Dr Hector R Carrasquillo CSP

• Specialist in Fajardo, PR
• Providers in Fajardo, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.