Active NPIIndividual providerSole proprietor

Ivan O Subervi

Emergency Medicine in Bayamon, Puerto Rico

NPI Number1124411913
Practice location
Carr.#5 Ave Central Juanita Final, Bayamon, PR 00960
Fax
—
Last updated
March 4, 2016

Ivan Oscar Subervi is an Emergency Medicine based in Bayamon, PR. Ivan Oscar Subervi practices in Bayamon, PR. The NPI Number for Ivan Oscar Subervi is 1124411913 and holds a License No. 19924 (PR). The current practice location address for Ivan Oscar Subervi is Carr.#5 Ave Central Juanita Final, Bayamon, PR 00960 and can be reached out via phone at 939-225-2400.

Provider Profile Details

NPI Number
1124411913
Provider Name
Ivan Oscar Subervi
Provider Entity Type
Individual
Gender
Male
Address
Carr.#5 Ave Central Juanita Final, Bayamon, PR 00960
Phone Number
939-225-2400
Primary Taxonomy
Emergency Medicine · 207P00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 18, 2015
Last Update Date
March 4, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
Carr.#5 Ave Central Juanita Final
Bayamon, PR 00960
Zip
00960
Phone Number
939-225-2400
Bayamon, PR 00960Get directions →

Provider Business Mailing Address Details

Address
Calle 1, Lote 18
Metro Office Park Suite 400
Guaynabo, PR 00968
City
Guaynabo
State
PR
Zip
00968
Phone Number
787-774-3344

License Information

License Number (1)
19924
License State (1)
PR
Taxonomy (1)
Emergency Medicine · 207P00000X · Primary
License Number (2)
19924
License State (2)
PR
Taxonomy (2)
Psychiatry & Neurology, Psychiatry · 2084P0800X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ivan O Subervi?

The NPI number of Ivan O Subervi is 1124411913. It was assigned on March 18, 2015 and is currently active in the NPPES registry.

What is the specialty of Ivan O Subervi?

Ivan O Subervi is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in PR under license number 19924.

Where does Ivan O Subervi practice?

The practice location is Carr.#5 Ave Central Juanita Final, Bayamon, PR 00960. The office can be reached at 939-225-2400 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124411913 directly on the NPPES registry website.

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