Servicios Medicos del Plata 4352

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

SERVICIOS MEDICOS DEL PLATA 4352

Practice address

349 Mendez Vigo
Suite 10
Dorado, PR 00646-0687

Phone

(787) 796-6568

NPI assigned

Aug 29, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Gladys Nieves

Title

Administradora

Phone

(787) 796-6568

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1013317734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 687",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006460687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 MENDEZ VIGO",
            "address_2": "SUITE 10",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006460687",
            "telephone_number": "787-796-6568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICIOS MEDICOS DEL PLATA 4352",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "NIEVES",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_title_or_position": "ADMINISTRADORA",
        "authorized_official_telephone_number": "787-796-6568",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Schwartz, MD
• Lourdes E Seda, PT
• Omar Segarra-Alonso, M.D.
• Jamie Krystal Serrano Kuilan
• Yazmin Serrano
• SHC Owner LLC
• SHC Owner LLC
• Samah M Shehadeh, M.D.
• Shifa Pharmacy Inc
• Tanya S. Silva Rivera, M.D.

• Exclusive Provider Organization in Dorado, PR
• Providers in Dorado, PR by specialty
• Exclusive Provider Organization in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.