Active NPI
Sistema Integrado de Salud del Oeste, LLC
- General Practice Physician
- Isabela, PR
National Provider Identifier
1972952760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- SISTEMA INTEGRADO DE SALUD DEL OESTE, LLC
- Practice address
- KM 1.1 Int Ave Agustin Ramos Calero
Isabela, PR 00662 - Phone
- (787) 830-2705
- Fax
- (787) 830-3059
- NPI assigned
- Jun 13, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bryan Lopez
- Title
- Administrator
- Phone
- (787) 830-2705
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | |||
| Pediatrics Physician | 208000000X | |||
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
KM 1.1 Int Ave Agustin Ramos Calero
Isabela, PR 00662
Mailing address
PO Box 484
Isabela, PR 00662-0484
Phone (787) 830-2705
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465776000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465776000000",
"number": "1972952760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 484",
"city": "ISABELA",
"state": "PR",
"postal_code": "006620484",
"telephone_number": "787-830-2705",
"fax_number": "787-830-3059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "KM 1.1 INT AVE AGUSTIN RAMOS CALERO",
"city": "ISABELA",
"state": "PR",
"postal_code": "00662",
"telephone_number": "787-830-2705",
"fax_number": "787-830-3059"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SISTEMA INTEGRADO DE SALUD DEL OESTE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-13",
"last_updated": "2016-06-13",
"status": "A",
"authorized_official_last_name": "LOPEZ",
"authorized_official_first_name": "BRYAN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "787-830-2705",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Isabela, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.