Active NPI
Western Doctor Connection
- Endoscopy Clinic/Center
- Mayaguez, PR
National Provider Identifier
1508009838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endoscopy Clinic/Center
- Legal business name
- WESTERN DOCTOR CONNECTION
- Practice address
- Ave Hostos # 410
Bo. Sabalos
Mayaguez, PR 00682-6353 - Phone
- (787) 519-4708
- NPI assigned
- Apr 16, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Luis Jimenez Reyes
- Title
- President
- Phone
- (787) 400-8760
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endoscopy Clinic/Center | 261QE0800X | Primary |
Addresses
Primary practice location
Ave Hostos # 410
Bo. Sabalos
Mayaguez, PR 00682-6353
Mailing address
PO Box 215
Mayaguez
Mayaguez, PR 00681-0215
Phone (787) 519-4708
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239840000000",
"number": "1508009838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 215",
"address_2": "MAYAGUEZ",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006810215",
"telephone_number": "787-519-4708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE HOSTOS # 410",
"address_2": "BO. SABALOS",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006826353",
"telephone_number": "787-519-4708"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN DOCTOR CONNECTION",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-16",
"last_updated": "2009-04-16",
"status": "A",
"authorized_official_last_name": "REYES",
"authorized_official_first_name": "LUIS",
"authorized_official_middle_name": "JIMENEZ",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-400-8760",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QE0800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Endoscopy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.