Organization Active NPI

Antonio F. Dizon, M.D.

  • Internal Medicine Physician
  • St.Croix, VI
National Provider Identifier
1821116260
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
146 Issued in VI
Legal business name
ANTONIO F. DIZON, M.D.
Practice address
4500 Island Medical Center
St.Croix, VI 00820
Phone
(340) 778-5780
Fax
(340) 713-1870
NPI assigned
Mar 26, 2007
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Antonio F Dizon, M.D.
Title
Physician
Phone
(340) 778-5780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 146 VI Primary

Addresses

Primary practice location

4500 Island Medical Center
St.Croix, VI 00820

Mailing address

PO Box 629
Christiansted
St.Croix, VI 00820
Phone (340) 778-5780

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1821116260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 629",
            "address_2": "CHRISTIANSTED",
            "city": "ST.CROIX",
            "state": "VI",
            "postal_code": "00820",
            "telephone_number": "340-778-5780",
            "fax_number": "340-713-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 ISLAND MEDICAL CENTER",
            "city": "ST.CROIX",
            "state": "VI",
            "postal_code": "00820",
            "telephone_number": "340-778-5780",
            "fax_number": "340-713-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTONIO F. DIZON, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "DIZON",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "340-778-5780",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VI",
            "license": "146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St.Croix, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.