The Palms Interventional Pain Clinic, PSC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

16381 Issued in PR

Legal business name

THE PALMS INTERVENTIONAL PAIN CLINIC, PSC

Practice address

Carr 167 # Int839
Sector la Aldea
Bayamon, PR 00961-4477

Phone

(787) 200-0350

NPI assigned

Oct 5, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Victor F Rodriguez, MD

Title

Medical Director

Phone

(787) 200-0350

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Palms Clinic Other name

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1467736702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. VALLE ARRIBA HEIGHTS",
            "address_2": "ST. 110 BH 2",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00983",
            "telephone_number": "787-200-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 167 # INT839",
            "address_2": "SECTOR LA ALDEA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009614477",
            "telephone_number": "787-200-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PALMS INTERVENTIONAL PAIN CLINIC, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "787-200-0350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": "16381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "CY164A",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Palms Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinic/Center in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.