Ipa Policlinica Familiar Factor Doctores Nieves, CSP

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

IPA POLICLINICA FAMILIAR FACTOR DOCTORES NIEVES, CSP

Practice address

Carr 2 KM 65.6 Bo Factor 1
Arecibo, PR 00612

Phone

(787) 815-6536

NPI assigned

Sep 9, 2020

Last updated

Sep 9, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jose Luis Nieves, MD

Title

President

Phone

(787) 815-6536

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1609481449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 970",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006130970",
            "telephone_number": "787-815-6536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2 KM 65.6 BO FACTOR 1",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-815-6536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IPA POLICLINICA FAMILIAR FACTOR DOCTORES NIEVES, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "NIEVES",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-815-6536",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integral Therapy Center
• Integramed Primary Care LLC
• Integrated Cardiovascular Solutions LLC
• International Pharmacy, Inc (Farmacia International Drug)
• Ipa 22 GRP Medico de Arecibo
• Ipa Policlinica Villa Los Santos
• Ipa Policlinica Villa Los Santos
• Ipa Policlinica Villa Los Santos
• Irizarry Medical Care LLC
• Sandra Irizarry, LICENSED OPTICIAN

• Health Service Clinic/Center in Arecibo, PR
• Providers in Arecibo, PR by specialty
• Health Service Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.