Organization Active NPI

Rasb Medical Services PSC

  • General Practice Physician
National Provider Identifier
1184907446
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
13921 Issued in PR
Legal business name
RASB MEDICAL SERVICES PSC
Practice address
Avenida Boulevard 3626
Tercera Seccion Levittown
Toa Baja, PUERTO RICO 00946
UM
Phone
(787) 784-7200
Fax
(787) 761-0613
NPI assigned
Sep 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2011

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

Authorized official

Name
Dr. Rafael A Soto Bermudez, MD
Title
Presidente
Phone
(787) 784-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 13921 PR Primary

Addresses

Primary practice location

Avenida Boulevard 3626
Tercera Seccion Levittown
Toa Baja, PUERTO RICO 00946
UM

Mailing address

PMB 167 # 425 Carr. 693
Suite 1
Dorado, PUERTO RICO 00646
UM
Phone (787) 784-7200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121009000360 PR Part B Supplier - Clinic/Group Practice 4981853827 Receives reassigned benefits from 1 practitioner
Practice locations: Toa Baja, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316736000000",
    "number": "1184907446",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "PMB 167 # 425 CARR. 693",
            "address_2": "SUITE 1",
            "city": "DORADO",
            "state": "PUERTO RICO",
            "postal_code": "00646",
            "telephone_number": "787-784-7200",
            "fax_number": "787-761-0613"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "AVENIDA BOULEVARD 3626",
            "address_2": "TERCERA SECCION LEVITTOWN",
            "city": "TOA BAJA",
            "state": "PUERTO RICO",
            "postal_code": "00946",
            "telephone_number": "787-784-7200",
            "fax_number": "787-761-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RASB MEDICAL SERVICES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-23",
        "last_updated": "2011-09-23",
        "status": "A",
        "authorized_official_last_name": "SOTO BERMUDEZ",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-784-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "13921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.