Island Natural Health Food

Primary specialty

Medical Foods SupplierTaxonomy code 335G00000X

Legal business name

ISLAND NATURAL HEALTH FOOD

Practice address

245 Calle Rosa
Urb. Ferry Barranca
Ponce, PR 00730-4322

Phone

(787) 813-1123

NPI assigned

Dec 13, 2019

Organization subpart

No

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

Authorized official

Name

Ramon Antonio Pagan de Jesus

Title

Owner

Phone

(787) 813-1123

Specialties & licenses 1

Addresses

Other names 1

• Island Natural Health Food Doing business as

Locations

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576195200000",
    "number": "1669010351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HACIENDA LAS VEGAS",
            "address_2": "117 CALLE GAVIOTA",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007957003",
            "telephone_number": "787-813-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 CALLE ROSA",
            "address_2": "URB. FERRY BARRANCA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007304322",
            "telephone_number": "787-813-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND NATURAL HEALTH FOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-13",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A",
        "authorized_official_last_name": "PAGAN DE JESUS",
        "authorized_official_first_name": "RAMON",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-813-1123"
    },
    "taxonomies": [
        {
            "code": "335G00000X",
            "taxonomy_group": "",
            "desc": "Medical Foods Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island Natural Health Food",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Medical Foods Supplier in Ponce, PR
• Providers in Ponce, PR by specialty
• Medical Foods Supplier in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.