Servicios Medicos Santa Juanita

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

9466 Issued in PR

Legal business name

SERVICIOS MEDICOS SANTA JUANITA

Practice address

N71 Ave Santa Juanita
Bayamon, PR 00956

Phone

(787) 995-7138

NPI assigned

Apr 27, 2018

Last updated

Jun 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Maria Adela Hernandez

Title

Administradora

Phone

(787) 225-8612

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1174011936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CD21 CALLE 24",
            "address_2": "URB REXVILLE",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00957",
            "telephone_number": "787-225-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N71 AVE SANTA JUANITA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-995-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICIOS MEDICOS SANTA JUANITA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-27",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ADELA",
        "authorized_official_title_or_position": "ADMINISTRADORA",
        "authorized_official_telephone_number": "787-225-8612",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "9466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000000",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Servicios Ansilares Cesmi Corp.
• Servicios Comunitarios Santa Cruz
• Servicios de Salud la Morenita Inc
• Servicios Dentales del Centro, CSP
• Servicios Medicos Bethesda CSP
• Servicios Medicos Urologia CSP
• Servicios Psicologicos Lcda Natalia Marquez Corp
• Servicios Pulmonares Profesionales
• Servicios SPL de Salud (Farmacia Gregoria Auffant)
• Servicios Terapeuticos Mayari, Inc.

• General Practice Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.