Advanced Internal Medicine & Cardiovascular Center of P.R. P.S.C

Primary specialty

SpecialistTaxonomy code 174400000X

License

8158 Issued in PR

Legal business name

ADVANCED INTERNAL MEDICINE & CARDIOVASCULAR CENTER OF P.R. P.S.C

Practice address

735 Ave Ponce de Leon
Torre Medica Auxilio Mutuo Suite 415
San Juan, PR 00917-5022

Phone

(787) 763-9813

NPI assigned

Sep 23, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Josue A Pabon, M.D.

Title

President

Phone

(787) 763-9813

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1720312895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 192382",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009192382",
            "telephone_number": "787-763-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON",
            "address_2": "TORRE MEDICA AUXILIO MUTUO SUITE 415",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175022",
            "telephone_number": "787-763-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED INTERNAL MEDICINE & CARDIOVASCULAR CENTER OF P.R. P.S.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-23",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "PABON",
        "authorized_official_first_name": "JOSUE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-763-9813",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "8158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in San Juan, PR
• Providers in San Juan, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.