Active NPI
Centro de Servicios Medicos Inc
- Clinical Medical Laboratory
- Toa Baja, PR
National Provider Identifier
1104961903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 613
- Legal business name
- CENTRO DE SERVICIOS MEDICOS INC
- Practice address
- HF16 Calle Lizzie Graham
Levittown
Toa Baja, PR 00949-3634 - Phone
- (787) 795-2935
- Fax
- (787) 784-0680
- NPI assigned
- Feb 20, 2007
- Organization subpart
- Yes
- Parent organization
- CENTRO DE SERVICIOS MEDICOS DE LEVITTOWN INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rafael L Roig
- Title
- President
- Phone
- (787) 795-4810
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 613 | PR | Primary |
Addresses
Primary practice location
HF16 Calle Lizzie Graham
Levittown
Toa Baja, PR 00949-3634
Mailing address
PO Box 51513
Toa Baja, PR 00950-1513
Phone (787) 795-4810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090225000151 | PR | Part B Supplier - Independent Clinical Laboratory | 3375608466 | Practice locations: Toa Baja, PR |
National Provider Directory
National Provider Directory- Part of
- Rayos X Centro de Servicios Medicos de Levittown
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Bayamon, PR
- NPI 1194824037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1417392000000",
"number": "1104961903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 51513",
"city": "TOA BAJA",
"state": "PR",
"postal_code": "009501513",
"telephone_number": "787-795-4810",
"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": "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": "2007-02-20",
"last_updated": "2014-12-01",
"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": "787-795-4810"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toa Baja, PR
- Myriam Cedres-Rios, M.D
- Centro de Consejeria Y Recreacion Kairos
- Centro de Cuidados Dirigidos de Levittown Inc
- Centro de Servicios Medicos de Levittown, Inc.
- Centro de Servicios Medicos Inc
- Centro de Servicios Medicos Inc
- Centro de Servicios Medicos Inc
- Centro Medico Dos Palmas Inc
- Centro Preventivo de Cuidado Pulmonar
- Centros Aliados de Salud Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.