Organization Active NPI

Centro de Servicios Medicos Inc

  • General Practice Physician
  • Toa Baja, PR
National Provider Identifier
1104251172
Registry record updated Dec 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CENTRO DE SERVICIOS MEDICOS INC
Practice address
HF16 Calle Lizzie Graham
Septima Seccion Levittown
Toa Baja, PR 00949-3634
Phone
(787) 795-2935
Fax
(787) 784-0680
NPI assigned
Sep 10, 2013
Organization subpart
Yes
Parent organization
CENTRO DE SERVICIOS MEDICOS DE LEVITTOWN, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 16, 2013

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

Authorized official

Name
Rafael L Roig, MR
Title
President
Phone
(787) 795-2935

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X
Diagnostic Ultrasound PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085U0001X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

HF16 Calle Lizzie Graham
Septima Seccion Levittown
Toa Baja, PR 00949-3634

Mailing address

HF16 Calle Lizzie Graham
Septima Seccion Levittown
Toa Baja, PR 00949-3634
Phone (787) 795-2935

National Provider Directory

National Provider Directory
Part of
Rayos X Centro de Servicios Medicos de Levittown

NPI Registry JSON

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387152000000",
    "number": "1104251172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HF16 CALLE LIZZIE GRAHAM",
            "address_2": "SEPTIMA SECCION LEVITTOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009493634",
            "telephone_number": "787-795-2935",
            "fax_number": "787-784-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HF16 CALLE LIZZIE GRAHAM",
            "address_2": "SEPTIMA SECCION LEVITTOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009493634",
            "telephone_number": "787-795-2935",
            "fax_number": "787-784-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE SERVICIOS MEDICOS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRO DE SERVICIOS MEDICOS DE LEVITTOWN, INC",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-12-16",
        "status": "A",
        "authorized_official_last_name": "ROIG",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-795-2935",
        "authorized_official_credential": "MR"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; 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.