Imv Health Services, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

IMV HEALTH SERVICES, LLC

Practice address

7 G4 Villa Interamericana
San German, PR 00683-0068

Phone

(787) 207-6394

NPI assigned

Jan 12, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Isennia Marin, MDNPI 1023619756

Title

Ceo

Phone

(787) 207-6394

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Isennia Marin, MD

  • General Practice Physician
  • Isabela, PR
  • NPI 1023619756
  NPD Authorized official

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1740879022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 CALLE COPASU, LLANOS DE ISABELA",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006626412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 G4 VILLA INTERAMERICANA",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006830068",
            "telephone_number": "787-207-6394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMV HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "MARIN",
        "authorized_official_first_name": "ISENNIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "787-207-6394",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in San German, PR
• Providers in San German, 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 Jan 12, 2021; 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.