PPL Medical CSP

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PPL MEDICAL CSP

Practice address

68 Calle Santa Cruz
Suite 405
Bayamon, PR 00961-7036

Phone

(787) 779-0484

Fax

(787) 779-3065

NPI assigned

Jun 10, 2014

Last updated

Jun 10, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lisa A Principe, MDNPI 1306855275

Title

President

Phone

(787) 779-0484

Specialties & licenses 1

Addresses

Tax ID family

PPL Medical CSP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• PPL Medical CSP

  • Cardiovascular Disease Physician
  • Bayamon, PR
  • NPI 1942435094
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa A. Principe, M.D.

  • Psychiatry Physician
  • Bayamon, PR
  • NPI 1306855275
  NPD Authorized official
• Domingo A Perez, MD

  • Cardiovascular Disease Physician
  • Bayamon, PR
  • NPI 1154343978
  NPD (past)

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1073926713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GRAND BOULEVARD PASEOS SUITE 112",
            "address_2": "MSC 333",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265955",
            "telephone_number": "787-779-0484",
            "fax_number": "787-779-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 CALLE SANTA CRUZ",
            "address_2": "SUITE 405",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617036",
            "telephone_number": "787-779-0484",
            "fax_number": "787-779-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PPL MEDICAL CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "PRINCIPE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-779-0484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Policlinica Hnos Muniz
• Polimedik LLC
• Roger David Polish, M.D.
• Carlos Rafael Polo
• Guillermo Ponce Paredes, MD
• PPL Medical CSP
• PR Endocrinology Care LLC
• PR Fast Ambulance LLC
• PR Hand Ortho LLC
• PR Imaging LLC

• Psychiatry Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Psychiatry Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.