North Shore Emergency LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

13397 Issued in PR

Legal business name

NORTH SHORE EMERGENCY LLC

Practice address

550 Calle Concepcion Vera
Moca, PR 00676-5005

Phone

(787) 877-3100

NPI assigned

Mar 9, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Angel L Rocafort, MD

Title

President

Phone

(787) 215-2300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1487929477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "997 CALLE ACAPULCO",
            "address_2": "RESIDENCIA VISTA MAR",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006625654",
            "telephone_number": "787-215-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 CALLE CONCEPCION VERA",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006765005",
            "telephone_number": "787-877-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE EMERGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-09",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "ROCAFORT",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-215-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "PR",
            "license": "13397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Miguel Nieves Mendez, DMD
• Abnel Nieves
• Blanca Nieves
• Gustavo Nieves
• Nillian L Guzman Laboratorio Clinico Familiar
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• Yolanda Ocasio Bermudez
• Edna Rosa Ocasio, BSN
• Open-Mind Psychology Clinic, LLC
• Ed Joel Ortega Cortes, M.D.

• All providers in Moca, PR
• Emergency Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.