Western Sleep Clinic, CSP

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

License

13251 Issued in PR

Legal business name

WESTERN SLEEP CLINIC, CSP

Practice address

351 Ave Hostos Ste 114
Medical Emporiem BLDG
Mayaguez, PR 00680-1503

Phone

(787) 986-7273

Fax

(787) 986-7274

NPI assigned

Jun 3, 2010

Organization subpart

No

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

Authorized official

Name

Dr. George P Fahed Inigo, MD

Title

President

Phone

(787) 986-7273

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Miriam M Padilla Diaz, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Ponce, PR
  • NPI 1164916730
  NPD (past)

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1609196518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801251",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007800000",
            "telephone_number": "787-986-7273",
            "fax_number": "787-986-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 AVE HOSTOS STE 114",
            "address_2": "MEDICAL EMPORIEM BLDG",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006801503",
            "telephone_number": "787-986-7273",
            "fax_number": "787-986-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN SLEEP CLINIC, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "FAHED INIGO",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-986-7273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "13251",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PR",
            "license": "13251",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PR",
            "license": "13251",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "PR",
            "license": "13251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "13251",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Western Neonatal Services, CSP
• Western Pathology and Citology Lab
• Western PR Neurological Clinic CSP
• Western Radiosonics, Inc.
• Western Radiotherapy Cancer Center
• Westside Dermatology LLC
• X Press Medical Equipment
• X-Ray Diagnostic Center
• Xcruz MD PSC
• You & Me Development Center LLC

• Sleep Medicine (Internal Medicine) Physician in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Sleep Medicine (Internal Medicine) Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.