NPIMap

Organization Active NPI

Islote Medical Solutions Corporation

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Arecibo, PR
National Provider Identifier
1811395395
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
CB-0712 Issued in PR
Legal business name
ISLOTE MEDICAL SOLUTIONS CORPORATION
Practice address
Carretera 681 KM 4.4
Barrio Islote
Arecibo, PR 00612
Phone
(787) 878-0948
Fax
(787) 881-5073
NPI assigned
Dec 15, 2014
Last updated
Dec 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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

Authorized official

Name
Dr. Gilbert Rodriguez Jr., TAC-III-05-20-2051
Title
Executive Director
Phone
(787) 636-5443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X CB-0712 PR Primary

Addresses

Primary practice location

Carretera 681 KM 4.4
Barrio Islote
Arecibo, PR 00612

Mailing address

Carr 681 # KM4.4
Bo. Islote
Arecibo, PR 00612-5313
Phone (787) 881-5073

National Provider Directory

National Provider Directory
Tax ID family
Islote Medical Solutions Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1811395395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARR 681 # KM4.4",
            "address_2": "BO. ISLOTE",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006125313",
            "telephone_number": "787-881-5073",
            "fax_number": "787-878-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 681 KM 4.4",
            "address_2": "BARRIO ISLOTE",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-878-0948",
            "fax_number": "787-881-5073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLOTE MEDICAL SOLUTIONS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-15",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-636-5443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "TAC-III-05-20-2051"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "PR",
            "license": "CB-0712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.