Active NPI
Id Services PC
- Medical Specialty Clinic/Center
- Bayamon, PR
National Provider Identifier
1518377159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 11893
- Legal business name
- ID SERVICES PC
- Practice address
- 73 Calle Santa Cruz
Edificio Medico Santa Cruz Oficina 107 B
Bayamon, PR 00961 - Phone
- (787) 785-3790
- Fax
- (787) 294-6843
- NPI assigned
- May 5, 2014
- 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
- Dr. Felix Ruiz Alvarez, M.D.
- Title
- President
- Phone
- (787) 785-3790
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 11893 | PR | Primary |
Addresses
Primary practice location
73 Calle Santa Cruz
Edificio Medico Santa Cruz Oficina 107 B
Bayamon, PR 00961
Mailing address
PO Box 8156
Bayamon, PR 00960-8156
Phone (787) 785-3790
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11893 | Other | PR | LICENSE |
National Provider Directory
National Provider DirectoryLocations
73 Calle Santa Cruz
Ste 107
Bayamon, PR 00961
Phone (787) 785-3790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399248000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1399248000000",
"number": "1518377159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8156",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009608156",
"telephone_number": "787-785-3790",
"fax_number": "787-294-6843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73 CALLE SANTA CRUZ",
"address_2": "EDIFICIO MEDICO SANTA CRUZ OFICINA 107 B",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00961",
"telephone_number": "787-785-3790",
"fax_number": "787-294-6843"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ID SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-05",
"last_updated": "2014-05-05",
"status": "A",
"authorized_official_last_name": "RUIZ ALVAREZ",
"authorized_official_first_name": "FELIX",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-785-3790",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "PR",
"license": "11893",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "11893",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.