Servicios Medicos Ilumina-Tus, CSP

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

SERVICIOS MEDICOS ILUMINA-TUS, CSP

Practice address

2069 Calle Buenos Aires
San Juan, PR 00911-1756

Phone

(787) 723-5574

Fax

(787) 721-4035

NPI assigned

Dec 20, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Victor A Colon-Sanchez, M.D.

Title

President

Phone

(787) 604-4589

Specialties & licenses 4

Addresses

Other names 1

• Ilumina-Tus Other name

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1972806537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 CALLE DEL PARQUE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009123702",
            "telephone_number": "787-723-5574",
            "fax_number": "787-721-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2069 CALLE BUENOS AIRES",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111756",
            "telephone_number": "787-723-5574",
            "fax_number": "787-721-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICIOS MEDICOS ILUMINA-TUS, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-20",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "COLON-SANCHEZ",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-604-4589",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "PR",
            "license": null,
            "primary": true
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ilumina-Tus",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Health Service Clinic/Center in San Juan, PR
• Providers in San Juan, PR by specialty
• Health Service Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; 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.