Organization Active NPI

Bella Vista Medicine Office P S C

  • Corporate Health Clinic/Center
  • Ponce, PR
National Provider Identifier
1780800730
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corporate Health Clinic/CenterTaxonomy code 261QC1800X
License
10517 Issued in PR
Legal business name
BELLA VISTA MEDICINE OFFICE P S C
Practice address
St. Nevada #11 Urb Bella Vista
Ponce, PR 00716
Phone
(787) 842-6542
NPI assigned
Apr 18, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Edith Torres Rodriguez, M.D.NPI 1053384289
Title
Internal Medicine Doctor
Phone
(787) 842-6542

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20121126000409 PR Part B Supplier - Clinic/Group Practice 2466603469 Receives reassigned benefits from 1 practitioner
Practice locations: Ponce, PR

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Corporate Health Clinic/Center 261QC1800X 10517 PR Primary

Addresses

NPPES NPI Registry

Primary practice location

St. Nevada #11 Urb Bella Vista
Ponce, PR 00716

Mailing address

Urb. Villa Esperanza C2 #30
Ponce, PR 00716-4063
Phone (787) 842-6542

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 27, 2011.

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1780800730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. VILLA ESPERANZA C2 #30",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164063",
            "telephone_number": "787-842-6542",
            "fax_number": "787-842-6542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST. NEVADA #11 URB BELLA VISTA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-842-6542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA VISTA MEDICINE OFFICE P S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "TORRES RODRIGUEZ",
        "authorized_official_first_name": "EDITH",
        "authorized_official_title_or_position": "INTERNAL MEDICINE DOCTOR",
        "authorized_official_telephone_number": "787-842-6542",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": "PR",
            "license": "10517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.