PR Medical Service LLC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

PR MEDICAL SERVICE LLC

Practice address

16 Ave Aguas Buenas Suite 34 Altos
Urb Santa Rosa
Bayamon, PR 00959

Phone

(787) 966-7575

Fax

(787) 966-7575

NPI assigned

Oct 26, 2016

Last updated

Jun 20, 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

Lourdes M Rivera Velez

Title

President

Phone

(787) 966-7575

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1205388121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 AVE AGUAS BUENAS SUITE 34 ALTOS",
            "address_2": "URB SANTA ROSA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-966-7575",
            "fax_number": "787-966-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 AVE AGUAS BUENAS SUITE 34 ALTOS",
            "address_2": "URB SANTA ROSA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-966-7575",
            "fax_number": "787-966-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PR MEDICAL SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "RIVERA VELEZ",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-966-7575"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PR Endocrinology Care LLC
• PR Fast Ambulance LLC
• PR Hand Ortho LLC
• PR Imaging LLC
• PR Medical Orthotics Service Corp.
• PR Physical Medicine & Rehab, LLC
• PR Surgical Endoscopy LLC
• PR Wound Care & Primary Medicine Center LLC
• Pradise Audiology & Balance Center LLC
• Precise Radiation Oncology Center PSC

• Vascular & Interventional Radiology Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Vascular & Interventional Radiology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.