NPIMap

Organization Active NPI

Innovative Care PSC

  • Specialist
  • Bayamon, PR
National Provider Identifier
1811035223
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
8204 Issued in PR
Legal business name
INNOVATIVE CARE PSC
Practice address
Aa1 Calle 5
Reparto Valencia
Bayamon, PR 00959-3719
Phone
(787) 786-4615
NPI assigned
Feb 1, 2007
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
Ms. Ruth Soto Malave, M.D.NPI 1437125143
Title
President
Phone
(787) 786-4615

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 8204 PR Primary

Addresses

Primary practice location

Aa1 Calle 5
Reparto Valencia
Bayamon, PR 00959-3719

Mailing address

112 Calle Oviedo
Ciudad Jardin Bairoa
Caguas, PR 00727-1344
Phone (787) 703-6273

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.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811035223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 CALLE OVIEDO",
            "address_2": "CIUDAD JARDIN BAIROA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007271344",
            "telephone_number": "787-703-6273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AA1 CALLE 5",
            "address_2": "REPARTO VALENCIA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009593719",
            "telephone_number": "787-786-4615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE CARE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOTO MALAVE",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-786-4615",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "8204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, 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.