Organization Active NPI

Centro de Servicios Medicos Inc

  • Clinical Medical Laboratory
  • Toa Baja, PR
National Provider Identifier
1104961903
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
613 Issued in PR
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 INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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.

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

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.

Verify at the official NPI Registry.