Internal Council Medicine Enhance, PSC

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

License

207R00000X Issued in PR

Legal business name

INTERNAL COUNCIL MEDICINE ENHANCE, PSC

Practice address

140 Jose de Diego
Arenas Exit
Cidra, PR 00739-1838

Phone

(787) 739-9495

Fax

(787) 296-9767

NPI assigned

Jun 29, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Sherry Lee Woolard, ESQ

Title

Lawyer

Phone

(787) 296-9767

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erasto Rodriguez, M.D.

  • Internal Medicine Physician
  • Cidra, PR
  • NPI 1619067170
  NPD (past)

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1609073063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7303",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007267303",
            "telephone_number": "787-296-9767",
            "fax_number": "787-296-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 JOSE DE DIEGO",
            "address_2": "ARENAS EXIT",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007391838",
            "telephone_number": "787-739-9495",
            "fax_number": "787-296-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL COUNCIL MEDICINE ENHANCE, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "WOOLARD",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "LAWYER",
        "authorized_official_telephone_number": "787-296-9767",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ESQ"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "PR",
            "license": "207R00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Institucion Getzemani
• Integral Coaching
• Integral Med PR PSC
• Intellek LLC
• Inter American University of Puerto Rico
• Isleep Diagnostics Corp
• Jason Luis Izquierdo, MD
• Carmen Yaritza Jimenez, LIC.
• Lisannette Marie Jimenez, OTA
• Catherine Johnson-Ramos, RN

• All providers in Cidra, PR
• PACE Provider Organization in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; 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.