Medical Epilepsy Care PSC

Primary specialty

Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X

License

14,434 Issued in PR

Legal business name

MEDICAL EPILEPSY CARE PSC

Practice address

101 Ave San Patricio Suite 1270
Edf Maramar Plaza
Guaynabo, PR 00968

Phone

(787) 751-2509

Fax

(787) 781-5307

NPI assigned

Jul 1, 2009

Last updated

Mar 22, 2017By 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

Ignacio L Pita Garcia, M.D.NPI 1447286679

Title

Medico

Phone

(787) 948-2231

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Tax ID family

Medical Epilepsy Care PSC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Medical Epilepcy Care PSC

  • Clinical Neurophysiology Physician
  • San Juan, PR
  • NPI 1770722381
  NPD tax ID

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.

• Ignacio L Pita Garcia, M.D.

  • Clinical Neurophysiology Physician
  • Guaynabo, PR
  • NPI 1447286679
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1477781292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LA VILLA DE TORRIMAR",
            "address_2": "CALLE REY FRANCISCO 332",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-751-2509",
            "fax_number": "787-781-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 AVE SAN PATRICIO SUITE 1270",
            "address_2": "EDF MARAMAR PLAZA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00968",
            "telephone_number": "787-751-2509",
            "fax_number": "787-781-5307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL EPILEPSY CARE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-01",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "PITA GARCIA",
        "authorized_official_first_name": "IGNACIO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICO",
        "authorized_official_telephone_number": "787-948-2231",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "PR",
            "license": "14,434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC",
            "identifier": "14,434",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Angel L Medina Mora, 1533P
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• Clinical Neurophysiology Physician in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Clinical Neurophysiology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.