681 Medical Services
Organization Active NPI General Practice Physician · Barceloneta, PR
NPI 1013795376 · NPPES record last updated Sep 18, 2023
Key facts
- NPI
- 1013795376
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- Legal business name
- 681 MEDICAL SERVICES
- Practice address
- 1 Calle Tomas Davila
Barceloneta, PR 00617-2798 - Phone
- (787) 600-5661
- NPI assigned
- Sep 18, 2023
- Organization subpart
- No
Authorized official
- Name
- Waldemar Rafael Rivera Jimenez, MD
- Title
- MD
- Phone
- (787) 710-1842
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260611004917 | PR | Part B Supplier - Clinic/Group Practice | 3274005046 |
Receives reassigned benefits from 1 practitioner Practice locations: Barceloneta, PR |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | Yes |
Addresses
Primary practice location
1 Calle Tomas Davila
Barceloneta, PR 00617-2798
Mailing address
PO Box 667
Barceloneta, PR 00617-0667
Phone (787) 710-1842
Other providers in Barceloneta, PR
- Ana C Acosta
- Acuarela Therapy Center Corp.
- Cindy Janet Adorno-Rivera
- Greisha A Adorno-Robles
- Valeria L Alicea
All providers in Barceloneta, PR · General Practice Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.