Ceiba MD PSC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

13318 Issued in PR

Legal business name

CEIBA MD PSC

Practice address

190 Ave Lauro Pinero
Ceiba, PR 00735-2732

Phone

(787) 885-8080

Fax

(787) 885-8081

NPI assigned

Jan 6, 2012

Last updated

Jul 5, 2012By 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

Luis F Rosa-Diaz, MDNPI 1346319399

Title

President

Phone

(787) 885-8080

Specialties & licenses 1

Addresses

Other names 1

• LUIS F ROSA DIAZ Other name

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, and the practitioner matching its NPPES authorized official.

• Luis Rosa Diaz

  • Family Medicine Physician
  • Guaynabo, PR
  • NPI 1346319399
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341446400000",
    "number": "1174893168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE LAURO PINERO 190",
            "city": "CEIBA",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-885-8080",
            "fax_number": "787-885-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 AVE LAURO PINERO",
            "city": "CEIBA",
            "state": "PR",
            "postal_code": "007352732",
            "telephone_number": "787-885-8080",
            "fax_number": "787-885-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEIBA MD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-07-05",
        "status": "A",
        "authorized_official_last_name": "ROSA-DIAZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-885-8080",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "13318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LUIS F ROSA DIAZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jaime Roberto Belardo, M.D.
• Deryck A. Bermudez Rivera, M.D.
• Shelitza Enid Camacho, M.A.
• Jose Luis Carlo, M.D.
• Cavity Repair LLC
• Ceiba Medical Services Inc
• Jose J Centeno Aviles, PHARMD
• Jose A Centeno, PHARMACIST
• Centro de Diagnostico Y Tratamiento Ceiba Medical Center
• Yaritza Cintron

• Family Medicine Physician in Ceiba, PR
• Providers in Ceiba, PR by specialty
• Family Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.