Organization Active NPI

Id Services PC

  • Medical Specialty Clinic/Center
  • Bayamon, PR
National Provider Identifier
1518377159
Registry record updated May 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
11893 Issued in PR
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

Updated by the provider on May 5, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
11893OtherPRLICENSE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.