Iq Corporation, P.S.C.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

IQ CORPORATION, P.S.C.

Practice address

15 Calle Dr Basora N
Mayaguez, PR 00680-4833

Phone

(787) 241-6256

NPI assigned

Jan 18, 2013

Organization subpart

No

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

Authorized official

Name

Adolfo Gonzalez SacNPI 1124047279

Title

MD General Practice

Phone

(787) 241-6256

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Adolfo Gonzalez Sac

  • General Practice Physician
  • Mayaguez, PR
  • NPI 1124047279
  Authorized official Same address or phone

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381449600000",
    "number": "1679811178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB LA RIVIERA",
            "address_2": "CONDOMINIO MEDICAL CENTER PLAZE APT 307",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009210000",
            "telephone_number": "787-241-6256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CALLE DR BASORA N",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804833",
            "telephone_number": "787-241-6256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IQ CORPORATION, P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-10-11",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ SAC",
        "authorized_official_first_name": "ADOLFO",
        "authorized_official_title_or_position": "MD GENERAL PRACTICE",
        "authorized_official_telephone_number": "787-241-6256"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN MEDICARE",
            "identifier": "90248",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; 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.