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Contact Information

IVAN O SUBERVI
CARR.#5 AVE CENTRAL JUANITA FINAL
BAYAMON, PR00960
 Phone: 939-225-2400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for IVAN O SUBERVI · (Male)

NPI Number 1124411913
Status Active
Credentials
Entity Individual
Enumeration date 03/18/2015
Last updated 03/04/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • PR License # 19924
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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