Servicios Profesionales Privado

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

11519-A Issued in PR

Legal business name

SERVICIOS PROFESIONALES PRIVADO

Doing business as

Servicio Domesticos

Practice address

HC 5 Box 46128
Vega Baja, PR 00693-9654

Phone

(787) 654-0346

NPI assigned

Apr 11, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Lydia E Otero Padilla, RN LIC 11519-A

Title

Enfermera Graduada RN BSN

Phone

(787) 654-0346

Specialties & licenses 1

Addresses

Other names 1

• SERVICIO DOMESTICOS Doing business as

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

{
    "created_epoch": "1397174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397174400000",
    "number": "1033538558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 5 BOX 46128",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00693",
            "telephone_number": "787-654-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 5 BOX 46128",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006939654",
            "telephone_number": "787-654-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICIOS PROFESIONALES PRIVADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-11",
        "last_updated": "2014-04-11",
        "status": "A",
        "authorized_official_last_name": "OTERO PADILLA",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ENFERMERA GRADUADA RN BSN",
        "authorized_official_telephone_number": "787-654-0346",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN LIC 11519-A"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "PR",
            "license": "11519-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SERVICIO DOMESTICOS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rose M Santiago
• Stephanie Santos Monserrate, BS
• Josue Segarra Lucena, MD
• Suheily Serrano Marrero, PSYD
• Sonia Valentin Serrano
• Wendy R Shaw Figueroa, OD
• Faten Shayeb Barakat, PHARMD
• Shirley Chavez Santiago (the key of life ambulance service)
• Cid M Sierra Morales, MD
• Vilian J Sierra

• Nursing Care Agency in Vega Baja, PR
• Providers in Vega Baja, PR by specialty
• Nursing Care Agency in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.