Corporacion Profesional de Servicios de Salud

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CORPORACION PROFESIONAL DE SERVICIOS DE SALUD

Doing business as

Grupo Medico de Manati

Practice address

A13 Calle Vendig
Urb. San Salvador
Manati, PR 00674-5396

Phone

(787) 884-6161

Fax

(787) 884-6966

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Walter Rivera, M.D.NPI 1609886969

Title

Physician

Phone

(787) 884-6161

Specialties & licenses 1

Addresses

Other names 1

• Grupo Medico de Manati Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Walter Rivera, M.D

  • General Practice Physician
  • Arecibo, PR
  • NPI 1609886969
  NPD (past) Authorized official
• Maricarmen Quijano, M.D.

  • General Practice Physician
  • Arecibo, PR
  • NPI 1548270812
  NPD (past)
• Veronica Velez Medina, M.D.

  • General Practice Physician
  • San Juan, PR
  • NPI 1972713345
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093851008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "A13 CALLE VENDIG",
            "address_2": "URB. SAN SALVADOR",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006745396",
            "telephone_number": "787-884-6161",
            "fax_number": "787-884-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A13 CALLE VENDIG",
            "address_2": "URB. SAN SALVADOR",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006745396",
            "telephone_number": "787-884-6161",
            "fax_number": "787-884-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPORACION PROFESIONAL DE SERVICIOS DE SALUD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "787-884-6161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grupo Medico de Manati",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Saul Cordero-Calero, M.D.
• Jose Cordero, M.D.
• Corporacion Fondo del Seguro del Estado
• Corporacion Las Vegas Inc (Clinica Terapia Fisica Y Rehabilitacion del Norte)
• Corporacion Las Vegas, LLC
• Carlos Alberto Correa Roman, MD
• Javier E Correa Roman
• Kenneth Alexis Correa I
• Alfredo J Corretjer, MD
• Juan Carlos Cortes Melendez

• General Practice Physician in Manati, PR
• Providers in Manati, PR by specialty
• General Practice 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.