Internal Medicine Individual Practice

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

INTERNAL MEDICINE INDIVIDUAL PRACTICE

Practice address

Ave Rotario Bo Asomante Carr 115 KM 24.8
Aguada, PR 00602

Phone

(787) 868-5857

Fax

(787) 868-5857

NPI assigned

Dec 6, 2007

Last updated

Dec 6, 2007By 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

Cortes Windalys

Title

Facturador Medico

Phone

(787) 868-5857

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edgar Mendez Negron, M.D.

  • Internal Medicine Physician
  • Aguada, PR
  • NPI 1396769253
  Medicare reassignment NPD

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1477736098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1706",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006021706",
            "telephone_number": "787-868-5857",
            "fax_number": "787-868-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE ROTARIO BO ASOMANTE CARR 115 KM 24.8",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "787-868-5857",
            "fax_number": "787-868-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE INDIVIDUAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "WINDALYS",
        "authorized_official_first_name": "CORTES",
        "authorized_official_title_or_position": "FACTURADOR MEDICO",
        "authorized_official_telephone_number": "17878685857"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nilbeth Carolina Hurtado Guevara, M.D.
• Inmuni, LLC
• Innovus Therapy Group LLC
• Instituto de Ojos Y Cirugia Plastica
• Instituto de Ojos Y Cirugia Plastica
• Irmaril Perez Santoni (Laboratorio Clinico Yesmar)
• Carisa Odemaris Jimenez Chaparro
• Jennifer L Jimenez Ruiz
• Lynoshka Shanice Jimenez Vega, PSYD
• Joshuas Ambulance

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.