Island Physician Management, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ISLAND PHYSICIAN MANAGEMENT, LLC

Practice address

35 Calle Juan C Borbon Ste 67-143
Guaynabo, PR 00969-5374

Phone

(787) 647-0816

NPI assigned

Apr 5, 2019

Organization subpart

No

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

Authorized official

Name

Wilfredo Rosado Santiago

Title

President

Phone

(787) 647-0816

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554422400000",
    "number": "1669934717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 CALLE JUAN C BORBON STE 67-143",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695374",
            "telephone_number": "787-647-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CALLE JUAN C BORBON STE 67-143",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695374",
            "telephone_number": "787-647-0816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND PHYSICIAN MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-05",
        "last_updated": "2019-04-05",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "WILFREDO",
        "authorized_official_middle_name": "ROSADO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-647-0816"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan E Irizarry, 0855B
• Leonor Irizarry, PSYD
• Maria A. Irizarry, MD
• Jose A Isado Zardon, DR
• Nicole Michelle Isidor-Pagan
• Ithamar Castro Pierluissi Dental LLC
• Edwim Ithier Rivera, 1265P
• Ivitality Health
• Ginette Marie Izquierdo, DMD
• J.E.R.I. Cardiomed, P.S.C.

• Specialist in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.