Kyrios Internal Medicine Services

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

KYRIOS INTERNAL MEDICINE SERVICES

Practice address

7342 Ave Agustin Ramos Calero
Isabela, PR 00662-3466

Phone

(787) 872-7095

Fax

(787) 872-7095

NPI assigned

Dec 28, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carmen Sanantonio

Title

Secretary

Phone

(787) 872-7095

Specialties & licenses 1

Addresses

Other identifiers 11

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jose A Mora Sr., MD

  • Internal Medicine Physician
  • Isabela, PR
  • NPI 1235206467
  Medicare reassignment NPD

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902883242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1492",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006591492",
            "telephone_number": "787-872-7095",
            "fax_number": "787-872-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7342 AVE AGUSTIN RAMOS CALERO",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006623466",
            "telephone_number": "787-872-7095",
            "fax_number": "787-872-7095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYRIOS INTERNAL MEDICINE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANANTONIO",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "787-872-7095"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OPTIMOR",
            "identifier": "89563",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "100097W",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "100193",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMC",
            "identifier": "1849",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARLIC",
            "identifier": "PE307",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "6620043",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTCARD",
            "identifier": "9864",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CANADA LIFE",
            "identifier": "PE3701",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMPR",
            "identifier": "30255",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "89563R10",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTI",
            "identifier": "212571",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth J Juarbe Barreto, SLP
• Julia Margarita Juarbe, DDS
• Julio a. Torres Izquierdo
• David Hormoz Kalantar, M.D.
• Farzad A. Khazraee, O.D.
• Lab Clinico Villanueva
• Laboratorio Cardona Lamela, Inc.
• Laboratorio Clinicio Prosalud Isabela PSC (Laboratorio Clinico Prosalud)
• Laboratorio Clinico Costa Isabela Inc.
• Laboratorio Clinico Irizarry Guasch Inc

• Internal Medicine Physician in Isabela, PR
• Providers in Isabela, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.