Internal Medicine Perioperative Consultants PSC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

14914 Issued in PR

Legal business name

INTERNAL MEDICINE PERIOPERATIVE CONSULTANTS PSC

Practice address

909 Tito Castro Ave
Torre Medica San Lucas Suite 717
Ponce, PR 00716

Phone

(787) 453-0583

NPI assigned

Jul 11, 2008

Last updated

Jul 11, 2008By 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. William Santiago, MD

Title

President

Phone

(787) 453-0583

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Tax ID family

Internal Medicine Perioperative Consultants PSC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Internal Medicine Perioperative Consultants, PSC

  • Internal Medicine Physician
  • Ponce, PR
  • NPI 1821253873
  NPD tax ID

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Santiago-Rivera, M.D.

  • Internal Medicine Physician
  • Ponce, PR
  • NPI 1669445144
  Medicare reassignment NPD
• Sharon V Zaragoza Rivera, MD

  • General Practice Physician
  • Ponce, PR
  • NPI 1184859134
  NPD
• Cellymar Zaragoza-Rivera, MD

  • Pediatrics Physician
  • Ponce, PR
  • NPI 1396788063
  NPD (past)

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1619131406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2000",
            "address_2": "PMB 157",
            "city": "MERCEDITA",
            "state": "PR",
            "postal_code": "00715",
            "telephone_number": "787-841-5549",
            "fax_number": "787-840-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 TITO CASTRO AVE",
            "address_2": "TORRE MEDICA SAN LUCAS SUITE 717",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-453-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE PERIOPERATIVE CONSULTANTS PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-453-0583",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PR",
            "license": "14914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUERTO RICO DEPARTMENT OF  STATE",
            "identifier": "5200",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Ponce, PR
• Providers in Ponce, PR by specialty
• Medical Specialty Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.