Instituto Vascular del Sur CSP

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

10536 Issued in PR

Legal business name

INSTITUTO VASCULAR DEL SUR CSP

Practice address

909 Ave. Tito Castro Suite 822
Torre Medica San Lucas
Ponce, PR 00716-4725

Phone

(787) 284-0804

Fax

(787) 284-0512

NPI assigned

Mar 21, 2008

Last updated

Mar 21, 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. Luis J Torruella, MDNPI 1205899853

Title

Owner

Phone

(787) 284-0804

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

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.

• Luis J Torruella, MD, FACS

  • Vascular Surgery Physician
  • Ponce, PR
  • NPI 1205899853
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1699946236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 AVE. TITO CASTRO SUITE 822",
            "address_2": "TORRE MEDICA SAN LUCAS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164725",
            "telephone_number": "787-284-0804",
            "fax_number": "787-284-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 AVE. TITO CASTRO SUITE 822",
            "address_2": "TORRE MEDICA SAN LUCAS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164725",
            "telephone_number": "787-284-0804",
            "fax_number": "787-284-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTO VASCULAR DEL SUR CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-21",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "TORRUELLA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-284-0804",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PR",
            "license": "10536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intercede
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• Vascular Surgery Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• Vascular Surgery Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.