Occumed Health Specialist

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

15483 Issued in PR

Legal business name

OCCUMED HEALTH SPECIALIST

Doing business as

Occumed Health Services

Practice address

305 Ave FD Roosevelt
San Juan, PR 00918-2305

Phone

(787) 772-0707

Fax

(787) 772-0711

NPI assigned

Sep 17, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Wilfredo Jose Aviles-Maldonado, MD

Title

President & Ceo

Phone

(787) 772-0707

Specialties & licenses 4

Addresses

Other names 1

• Occumed Health Services Doing business as

Locations

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1841669066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 AVE FD ROOSEVELT",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182305",
            "telephone_number": "787-772-0707",
            "fax_number": "787-772-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 AVE FD ROOSEVELT",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182305",
            "telephone_number": "787-772-0707",
            "fax_number": "787-772-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUMED HEALTH SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "AVILES-MALDONADO",
        "authorized_official_first_name": "WILFREDO",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "787-772-0707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "PR",
            "license": "22354",
            "primary": false
        },
        {
            "code": "202C00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Independent Medical Examiner",
            "state": "PR",
            "license": "15483",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "PR",
            "license": "15483",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "15483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Occumed Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathia Nicole Ocasio
• Luis Ocasio
• Manuel Ocasio
• Maria Isabel Ocasio
• Richard Ocasio, BSN
• Oceanic Wellness Center LLC
• Ocg Dermatology LLC
• Raul Octaviani, MD
• Alejandro Yamil Odeh Couvertier
• Eric Fernando Odiot, M.D.

• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.