Phymed

Primary specialty

SpecialistTaxonomy code 174400000X

License

13991 Issued in PR

Legal business name

PHYMED

Practice address

Carr 165 # KM 1.2 # 48 City View Plaza
Suite 115
Guaynabo, PR 00968-8047

Phone

(787) 774-0707

Fax

(787) 775-0202

NPI assigned

Apr 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. Eilyn De-Jesus, MD

Title

Inter Medicine

Phone

(787) 774-0707

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1760626634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARR 165 # KM",
            "address_2": "SUITE 115",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009688047",
            "telephone_number": "787-774-0707",
            "fax_number": "787-775-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 165 # KM 1.2 # 48 CITY VIEW PLAZA",
            "address_2": "SUITE 115",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009688047",
            "telephone_number": "787-774-0707",
            "fax_number": "787-775-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYMED",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "DE-JESUS",
        "authorized_official_first_name": "EILYN",
        "authorized_official_title_or_position": "INTER MEDICINE",
        "authorized_official_telephone_number": "787-774-0707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "13991",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "15909",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "13925",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perla Dental LLC
• Raquel Maria Perojo Perez, PHARMD
• Ricardo Francisco Pescador Vega
• Pga Consulting Group
• Pharmacare Inc
• Physeal Orthopedics Inc
• Yaritza Pica
• Maria Isabel Pico, PSYD
• Nydia Pimentel Ruiz, 1433B
• Julissa Pinero Negron, 1137P

• Specialist in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; 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.