Anti Aging Puerto Rico, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ANTI AGING PUERTO RICO, INC

Practice address

559 Calle Cabo H Alverio
Ext. Roosevelt
San Juan, PR 00918-3725

Phone

(786) 467-0606

Fax

(787) 963-1433

NPI assigned

Aug 7, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jaime Antonio Salas-Rushford, MD

Title

President

Phone

(786) 467-0606

Specialties & licenses 1

Addresses

Other names 1

• Anti Aging Puerto Rico Doing business as

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1528299583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 CALLE CABO H ALVERIO",
            "address_2": "EXT. ROOSEVELT",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183725",
            "telephone_number": "786-467-0606",
            "fax_number": "787-963-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 CALLE CABO H ALVERIO",
            "address_2": "EXT. ROOSEVELT",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183725",
            "telephone_number": "786-467-0606",
            "fax_number": "787-963-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTI AGING PUERTO RICO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-07",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "SALAS-RUSHFORD",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-467-0606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anti Aging Puerto Rico",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arelys Alexandra Angueira Laureano
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• Antonio I. del Valle-Segarra
• Anxietyworks PLLC

• Internal Medicine Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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.