B G Medical Services, CSP

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

11838 Issued in PR

Legal business name

B G MEDICAL SERVICES, CSP

Practice address

Edif Parras Ste 801
Ponce by Pass
Ponce, PR 00717-1321

Phone

(787) 848-5968

Fax

(787) 848-6384

NPI assigned

Mar 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Victor Benitez, MD

Title

President

Phone

(787) 450-0333

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073645552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1709",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006981709",
            "telephone_number": "787-848-5968",
            "fax_number": "787-848-6384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIF PARRAS STE 801",
            "address_2": "PONCE BY PASS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171321",
            "telephone_number": "787-848-5968",
            "fax_number": "787-848-6384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B G MEDICAL SERVICES, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENITEZ",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-450-0333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "11838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edilberto Ayala, M.D.
• Giovanni Arnaldo Ayala
• Jaime Ayala, M.D.
• David Aymat Casanova
• Azzur Advanced Therapeutics LLC
• Jashira Evette Babilonia Banuchi
• Keisha Bachour Ramirez
• German Jose Baco Padilla
• Juliana De Los Angeles Baco Padilla
• Roberto Emilio Baco Viamonte, DDS

• Internal Medicine Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.