Organization Active NPI

Efg Medical Services,PSC

  • Cardiovascular Disease Physician
  • Hato Rey, PR
National Provider Identifier
1144630559
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
EFG MEDICAL SERVICES,PSC
Practice address
735 Ave Ponce de Leon Ste 618
Hato Rey, PR 00917-5029
Phone
(787) 763-0654
Fax
(787) 764-3476
NPI assigned
May 7, 2014
Last updated
Dec 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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

Authorized official

Name
Dr. Efrain A Feliciano, M.D.NPI 1851439954
Title
Owner
Phone
(787) 763-0654

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Primary

Addresses

Primary practice location

735 Ave Ponce de Leon Ste 618
Hato Rey, PR 00917-5029

Mailing address

735 Ave Ponce de Leon Ste 618
Hato Rey, PR 00917-5029
Phone (787) 763-0654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141111001081 PR Part B Supplier - Clinic/Group Practice 0749402519 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

735 Ave Ponce de Leon
Ste 618
San Juan, PR 00917
Phone (787) 763-0654

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418083200000",
    "number": "1144630559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON STE 618",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "009175029",
            "telephone_number": "787-763-0654",
            "fax_number": "787-764-3476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON STE 618",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "009175029",
            "telephone_number": "787-763-0654",
            "fax_number": "787-764-3476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EFG MEDICAL SERVICES,PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-07",
        "last_updated": "2014-12-09",
        "status": "A",
        "authorized_official_last_name": "FELICIANO",
        "authorized_official_first_name": "EFRAIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-763-0654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hato Rey, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.