Oceanside Medical Services Corp

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

16169 Issued in PR

Legal business name

OCEANSIDE MEDICAL SERVICES CORP

Practice address

Edificio Plaza del Mar Carr 459 KM 11.4
Isabela, PR 00662

Phone

(787) 830-5914

Fax

(787) 877-2145

NPI assigned

Sep 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ibelith Miranda

Title

Dueno

Phone

(787) 830-5914

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1881889947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 CALLE BERMUDA",
            "address_2": "UBR ISLAZUL",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006626354",
            "telephone_number": "787-830-5914",
            "fax_number": "787-877-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO PLAZA DEL MAR CARR 459 KM 11.4",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "00662",
            "telephone_number": "787-830-5914",
            "fax_number": "787-877-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANSIDE MEDICAL SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "IBELITH",
        "authorized_official_title_or_position": "DUENO",
        "authorized_official_telephone_number": "787-830-5914",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": "16169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Isabela, PR
• Providers in Isabela, PR by specialty
• Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.