Basic Information
| Provider Information | |||||||||
| NPI: | 1437425030 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | LAS AMERICAS PAIN INTERVENTIONAL CENTER PSC | ||||||||
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| OtherOrganizationName: | LAPIC | ||||||||
| OtherOrganizationType: | 4 | ||||||||
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| Mailing Information | |||||||||
| Address1: | CROSANDRA A 27 | ||||||||
| Address2: | PARQUE DE BUCARE | ||||||||
| City: | GUAYNABO | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00969 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7872007550 | ||||||||
| FaxNumber: | 7872007553 | ||||||||
| Practice Location | |||||||||
| Address1: | LA TORRE DE PLAZA LAS AMERICAS | ||||||||
| Address2: | SUITE 617 525 AVE ROOSEVELT | ||||||||
| City: | HATO REY | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00918 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7872007550 | ||||||||
| FaxNumber: | 7872007553 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/28/2012 | ||||||||
| LastUpdateDate: | 08/12/2020 | ||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | NEGRON | ||||||||
| AuthorizedOfficialFirstName: | AUREA | ||||||||
| AuthorizedOfficialMiddleName: | TERESA | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT AND OWNER | ||||||||
| AuthorizedOfficialTelephone: | 7872007550 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D., FIPP | ||||||||
| NPICertificationDate: | 08/12/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QP3300X | 14071 | PR | Y | Ambulatory Health Care Facilities | Clinic/Center | Pain |
No ID Information.