Organization Active NPI

Telecom Doctors, CSP

Doing business as Body Habitus Obesity Care Center

  • Clinic/Center
  • San Juan, PR
National Provider Identifier
1750451704
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
TELECOM DOCTORS, CSP
Doing business as
Body Habitus Obesity Care Center
Practice address
Los Paseos Mall
Ste. 108a
San Juan, PR 00926-8250
Phone
(787) 748-5306
Fax
(787) 748-5297
NPI assigned
Nov 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jose Aurelio Davila, MD
Title
Medical Director & Ceo
Phone
(787) 748-5306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

Los Paseos Mall
Ste. 108a
San Juan, PR 00926-8250

Mailing address

PO Box 70250
Ste. 356
San Juan, PR 00936-8250
Phone (787) 748-5306

Other names 1

  • Body Habitus Obesity Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Body Habitus Obesity Care Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750451704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70250",
            "address_2": "STE. 356",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009368250",
            "telephone_number": "787-748-5306",
            "fax_number": "787-748-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LOS PASEOS MALL",
            "address_2": "STE. 108A",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009268250",
            "telephone_number": "787-748-5306",
            "fax_number": "787-748-5297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELECOM DOCTORS, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVILA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "AURELIO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR & CEO",
        "authorized_official_telephone_number": "787-748-5306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Body Habitus Obesity Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.