Organization Active NPI

Ponce Orthopaedic Trauma Institute PSC

  • Orthopaedic Trauma Physician
  • Ponce, PR
National Provider Identifier
1518117175
Registry record updated Apr 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
License
17144 Issued in PR
Legal business name
PONCE ORTHOPAEDIC TRAUMA INSTITUTE PSC
Practice address
2225 Ponce by Pass
Edificio Parra Ofice 805
Ponce, PR 00717-1321
Phone
(718) 710-6342
NPI assigned
Sep 19, 2008
Last updated
Apr 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2009

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

Authorized official

Name
Dr. Michael John Serra Torres, MD
Title
Owner
Phone
(718) 710-6342

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 17144 PR
Orthopaedic Trauma Physician 207XX0801X 17144 PR Primary

Addresses

Primary practice location

2225 Ponce by Pass
Edificio Parra Ofice 805
Ponce, PR 00717-1321

Mailing address

Urb. Terra Senorial
141 Castania
Ponce, PR 00731
Phone (718) 710-6342

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1518117175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. TERRA SENORIAL",
            "address_2": "141 CASTANIA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00731",
            "telephone_number": "718-710-6342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 PONCE BY PASS",
            "address_2": "EDIFICIO PARRA OFICE 805",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171321",
            "telephone_number": "718-710-6342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONCE ORTHOPAEDIC TRAUMA INSTITUTE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "SERRA TORRES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-710-6342",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PR",
            "license": "17144",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "PR",
            "license": "17144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, 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.

Verify at the official NPI Registry.