NPIMap

Organization Active NPI

CCS PSC

  • Cardiovascular Disease Physician
  • Guaynabo, PR
National Provider Identifier
1174907760
Registry record updated Jul 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
17958 Issued in PR
Legal business name
CCS PSC
Practice address
Ave Palma Real
Murano Luxury 1115
Guaynabo, PR 00969-7201
Phone
(787) 633-2671
NPI assigned
Jul 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2015

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

Authorized official

Name
Dr. Jaime Gabriel Aponte, M.D.
Title
President
Phone
(787) 633-2671

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 17958 PR
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 17958 PR Primary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X 17958 PR

Addresses

Primary practice location

Ave Palma Real
Murano Luxury 1115
Guaynabo, PR 00969-7201

Mailing address

Ave Palma Real
Murano Luxury 1115
Guaynabo, PR 00969-7201
Phone (787) 633-2671

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151007002488 PR Part B Supplier - Clinic/Group Practice 0244548485 Receives reassigned benefits from 12 practitioners
Practice locations: San Juan, PR; Carolina, PR; Bayamon, PR; Manati, PR

National Provider Directory

National Provider Directory

Locations

9 Ave Hermanas Davila
Bayamon, PR 00957
Phone (787) 622-5421

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436832000000",
    "number": "1174907760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE PALMA REAL",
            "address_2": "MURANO LUXURY 1115",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009697201",
            "telephone_number": "787-633-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE PALMA REAL",
            "address_2": "MURANO LUXURY 1115",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009697201",
            "telephone_number": "787-633-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCS PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-07-14",
        "status": "A",
        "authorized_official_last_name": "APONTE",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "GABRIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-633-2671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "17958",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "17958",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PR",
            "license": "17958",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.