Issso

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

10070 Issued in PR

Legal business name

ISSSO

Practice address

2 Medical Plaza 640
Mayaguez, PR 00682

Phone

(787) 403-7810

NPI assigned

May 18, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Jovanna Vazquez Pagan

Title

President

Phone

(787) 403-7918

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1962859066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 CALLE DR ENRIQUE LAGUERRE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00731",
            "telephone_number": "787-403-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PLAZA 640",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00682",
            "telephone_number": "787-403-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISSSO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "PAGAN",
        "authorized_official_first_name": "JOVANNA",
        "authorized_official_middle_name": "VAZQUEZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-403-7918",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "PR",
            "license": "10070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica M Irizarry
• Yanira M Irizarry
• Islacare Medical Services, LLC
• Island Orthopedic Supplies, Inc.
• Island Surgical Associates LLC
• Nadia Nicole Ithier Noguet
• Doris Milagros Iturrino, MD FACP
• J.J. Sanchez Pediatrics, PSC
• Yue Sai Jao Ayala, MD
• Anirma Francisca Jaquez, MD

• Addiction Medicine (Family Medicine) Physician in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Addiction Medicine (Family Medicine) Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.