SANTA ISABEL MEDICAL GROUP NPI 1174823090

NPI Information

  • NPI: 1174823090
  • Provider Name: SANTA ISABEL MEDICAL GROUP
  • Classification: Legal Medicine - 173000000X
  • Entity Type: Organization
  • CLIA Number: 40D2083701
  • Address: CALLE LUIS MUNOZ RIVERA
    NUMERO 54
    SANTA ISABEL, PR
    ZIP 00757
  • Phone: (787) 845-6211

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NPI Details

SANTA ISABEL MEDICAL GROUP is a legal medicine in Santa Isabel, PR. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. SANTA ISABEL MEDICAL GROUP NPI is 1174823090. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

CALLE LUIS MUNOZ RIVERA
NUMERO 54
SANTA ISABEL, PR
ZIP 00757-000
Phone: (787) 845-6211
Fax: (787) 845-2925

The provider's authorized official is Jose D Quiles .
The authorized official title is President and has the following contact phone number (787) 845-6211.

The CLIA number assigned to this NPI record is 40D2083701 - community clinic with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/26/2010 and was last updated on 10/26/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1173000000XLegal Medicine7665PUERTO RICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17665OTHERPUERTO RICOLICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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