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
Last updated
Oct 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Authorized official

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.

Specialties & licenses 1

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

Addresses

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

Medicare participation

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

Enrollment records 1

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

Practitioners & affiliated clinicians

Practitioners 1

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": "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.