Innova Medical Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

INNOVA MEDICAL CLINIC

Practice address

Carr 125 KM 18.1 Bo. Bahomamey
San Sebastian, PR 00685

Phone

(939) 323-6472

NPI assigned

Jan 26, 2024

Organization subpart

No

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

Authorized official

Name

Jose Gabriel Arce-Diaz, MDNPI 1205554805

Title

Doctor/President

Phone

(939) 323-6472

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jose Gabriel Arce-Diaz, MD

  • General Practice Physician
  • San Sebastian, PR
  • NPI 1205554805
  NPD Authorized official

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1669234464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 URB VICTORIA CALLE TULIPAN",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 125 KM 18.1 BO. BAHOMAMEY",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "00685",
            "telephone_number": "939-323-6472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVA MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "ARCE-DIAZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "GABRIEL",
        "authorized_official_title_or_position": "DOCTOR/PRESIDENT",
        "authorized_official_telephone_number": "939-323-6472",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annie D Hernandez Velez, M.D.
• Marianne Hernandez, MD
• Zaidlys Hernandez
• Hogar Vista a la Montana Inc.
• Hola Hola Therapy Group LLC
• Insight Centro Psicoterapeutico Familiar LLC
• Joannie Irizarry Cortes, O.D.
• Christine Marie Irizarry
• Migdalia Irizarry
• Ismael Perez PTR (Laboratorio San Sebastian)

• Primary Care Clinic/Center in San Sebastian, PR
• Providers in San Sebastian, PR by specialty
• Primary Care Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.