ISLAND MEDICAL GROUP – NPI #1336352483
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

ISLAND MEDICAL GROUP is an AHC clinic located in SAN JUAN, PR. NPPES has assigned the NPI number 1336352483 to ISLAND MEDICAL GROUP on May 07, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ISLAND MEDICAL GROUP below.

NPI Profile for
ISLAND MEDICAL GROUP

NPI Number
1336352483
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ISLAND MEDICAL GROUP
Primary location
AVENIDA LA CONSTITUCION #530
SUITE 350
SAN JUAN, PR 00901
Phone: (787) 279-7512 Fax: (787) 279-7512
Mailing address
PO BOX 194000
PMB 279
SAN JUAN, PR 00919
Phone: (787) 279-7512 Fax: (787) 279-7512
Organization Subpart
No
Authorized Official
ARCILIO ROSAS
PRESIDENT
Phone: (787) 306-8356
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)
PR 32CNC04-328PR

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.