NPIMap

Organization Active NPI

Em Physicians of Puerto Rico PSC

  • Emergency Medicine Physician
  • Hato Rey, PR
National Provider Identifier
1730128265
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
EM PHYSICIANS OF PUERTO RICO PSC
Practice address
Ave Ponce de Leon # 715
Pda 37
Hato Rey, PR 00919
Phone
(787) 771-7930
Fax
(787) 771-7390
NPI assigned
Jun 6, 2006
Last updated
Jul 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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

Authorized official

Name
Dr. Wilfedo L Rendon, M.D.
Title
President
Phone
(787) 771-7930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

Ave Ponce de Leon # 715
Pda 37
Hato Rey, PR 00919

Mailing address

PO Box 29582
San Juan, PR 00929-0582
Phone (787) 771-7930

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1730128265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29582",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009290582",
            "telephone_number": "787-771-7930",
            "fax_number": "787-771-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE PONCE DE LEON # 715",
            "address_2": "PDA 37",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "00919",
            "telephone_number": "787-771-7930",
            "fax_number": "787-771-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EM PHYSICIANS OF PUERTO RICO PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "RENDON",
        "authorized_official_first_name": "WILFEDO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-771-7930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hato Rey, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.