Clinica de Neurologia Y Medicina Neuromuscular, Inc.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

016446 Issued in PR

Legal business name

CLINICA DE NEUROLOGIA Y MEDICINA NEUROMUSCULAR, INC.

Practice address

Ave Jesus T Pinero # 282
Edificio Plaza El Amal #210
San Juan, PR 00918-4003

Phone

(787) 310-7685

NPI assigned

Jul 14, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Eliud Irizarry, M.D.

Title

Neurologist

Phone

(787) 310-7685

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1881823607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 CALLE NEVAREZ",
            "address_2": "CONDOMINIO LOS OLMOS, APT. 8A",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009274500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE JESUS T PINERO # 282",
            "address_2": "EDIFICIO PLAZA EL AMAL #210",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009184003",
            "telephone_number": "787-310-7685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DE NEUROLOGIA Y MEDICINA NEUROMUSCULAR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "IRIZARRY",
        "authorized_official_first_name": "ELIUD",
        "authorized_official_title_or_position": "NEUROLOGIST",
        "authorized_official_telephone_number": "787-310-7685",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PR",
            "license": "016446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in San Juan, PR
• Providers in San Juan, PR by specialty
• Medical Specialty Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.