Medical Psychiatric Services PSC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

08550 Issued in PR

Legal business name

MEDICAL PSYCHIATRIC SERVICES PSC

Practice address

1396 Calle San Rafael
Medical Pavillion Suite 4
San Jaun, PR 00909

Phone

(787) 725-2910

NPI assigned

Mar 24, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Juan Jose Rodriguez Velez, M.D.NPI 1285605980

Title

President

Phone

(787) 562-5414

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

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

• Juan J Rodriguez Velez, MD

  • Psychiatry Physician
  • San Juan, PR
  • NPI 1285605980
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427155200000",
    "number": "1164816583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1396 CALLE SAN RAFAEL",
            "address_2": "MEDICAL PAVILLION SUITE 4",
            "city": "SAN JAUN",
            "state": "PR",
            "postal_code": "00909",
            "telephone_number": "787-725-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1396 CALLE SAN RAFAEL",
            "address_2": "MEDICAL PAVILLION SUITE 4",
            "city": "SAN JAUN",
            "state": "PR",
            "postal_code": "00909",
            "telephone_number": "787-725-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PSYCHIATRIC SERVICES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-24",
        "last_updated": "2015-03-24",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ VELEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-562-5414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PR",
            "license": "08550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. JUAN J RODRIGUEZ VELEZ NPI",
            "identifier": "1285605980",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. JUAN J RODRIGUEZ VELEZ STATE LICENCES",
            "identifier": "08550",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Imc Hospitalists LLC
• Lens Factory for You (Lens Factory for You D/B/A Jose L. Burgos)
• Lisa Navas Medical Services, LLC
• Alejandra M Monclova Rodriguez, MSC.A.
• Kelvin Xavier Rivera Manzano, M.D.
• Luis O Vargas Martinez

• Medical Specialty Clinic/Center in San Jaun, PR
• Providers in San Jaun, PR by specialty
• Medical Specialty Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; 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.