Epilepsia Neuroimagenes, CSP

Primary specialty

Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X

License

18212 Issued in PR

Legal business name

EPILEPSIA NEUROIMAGENES, CSP

Practice address

Centro Internacional de Mercadeo Carr 165
Torre 1 Suite 311
Guaynabo, PR 00968

Phone

(787) 224-9188

Fax

(939) 437-4302

NPI assigned

Nov 19, 2015

Organization subpart

No

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

Authorized official

Name

Javier Chapa Davila, MDNPI 1366672248

Title

President

Phone

(787) 224-9188

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 4

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

• Javier Chapa Davila, M.D.

  • Clinical Neurophysiology Physician
  • Guaynabo, PR
  • NPI 1366672248
  Medicare reassignment NPD Authorized official
• Janice Marie Vargas Rodriguez, MD

  • Neurology Physician
  • Guaynabo, PR
  • NPI 1730688706
  NPD
• Vicente Chapa Juan, MD

  • General Practice Physician
  • Las Piedras, PR
  • NPI 1982683819
  NPD (past)
• Astrid M. Gonzalez Guardiola, MD

  • Family Medicine Physician
  • Miami, FL
  • NPI 1477885127
  NPD (past)

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1609240274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CARR 165 STE 311",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009688050",
            "telephone_number": "787-224-9188",
            "fax_number": "939-437-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO INTERNACIONAL DE MERCADEO CARR 165",
            "address_2": "TORRE 1 SUITE 311",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00968",
            "telephone_number": "787-224-9188",
            "fax_number": "939-437-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPILEPSIA NEUROIMAGENES, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-19",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "CHAPA DAVILA",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-224-9188",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "PR",
            "license": "18212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sabrina A. Escobar Pena
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• Dominique Francheska Espaillat
• Lourdes Michelle Esparra

• Clinical Neurophysiology Physician in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Clinical Neurophysiology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.