Premier Spine PSC

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

12070 Issued in PR

Legal business name

PREMIER SPINE PSC

Doing business as

Premier Spine

Practice address

500 Ave. Degetau
Hima Plaza I, Suite 703
Caguas, PR 00725

Phone

(787) 744-8315

Fax

(787) 746-4311

NPI assigned

Aug 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Enrique Escobar-Medina

Title

MD

Phone

(787) 744-8315

Specialties & licenses 1

Addresses

Other names 1

• PREMIER SPINE Doing business as

Locations

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400457600000",
    "number": "1801902705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8637",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007268637",
            "telephone_number": "787-744-8315",
            "fax_number": "787-746-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 AVE. DEGETAU",
            "address_2": "HIMA PLAZA I, SUITE 703",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-744-8315",
            "fax_number": "787-746-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SPINE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2014-05-19",
        "status": "A",
        "authorized_official_last_name": "ESCOBAR-MEDINA",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "787-744-8315",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "PR",
            "license": "12070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PREMIER SPINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Orthopaedic Surgery of the Spine Physician in Caguas, PR
• Providers in Caguas, PR by specialty
• Orthopaedic Surgery of the Spine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.