Smis Corporation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SMIS CORPORATION

Practice address

1801 Ave Ponce de Leon
Suite 411
San Juan, PR 00909-1900

Phone

(787) 726-0440

Fax

(787) 727-5574

NPI assigned

Oct 28, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Rey Antonio Claudio-Fuentes

Title

Operational Vice President

Phone

(787) 726-0440

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SANTURCE MEDICAL INTEGRATED SYSTEMS Other name

Locations

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1891948436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 AVE PONCE DE LEON",
            "address_2": "SUITE 411",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009091900",
            "telephone_number": "787-726-0440",
            "fax_number": "787-727-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 AVE PONCE DE LEON",
            "address_2": "SUITE 411",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009091900",
            "telephone_number": "787-726-0440",
            "fax_number": "787-727-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMIS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "CLAUDIO-FUENTES",
        "authorized_official_first_name": "REY",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "OPERATIONAL VICE PRESIDENT",
        "authorized_official_telephone_number": "787-726-0440",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICADO DE REGISTRO DEPARTAMENTO DE ESTADO DEL ESTADO LIBRE ASOCIADO DE PR",
            "identifier": "183001",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SANTURCE MEDICAL INTEGRATED SYSTEMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinic/Center in San Juan, PR
• Providers in San Juan, 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 Oct 28, 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.