Servicios Profesionales Ambulatorios

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

12790 Issued in PR

Legal business name

SERVICIOS PROFESIONALES AMBULATORIOS

Practice address

Ethel Marin #1114
Paseo Los Robles
Mayaguez, PUERTO RICO 00682
UM

Phone

(787) 832-1585

Fax

(787) 832-1585

NPI assigned

Oct 18, 2011

Last updated

May 3, 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

Mr. Roberto L Bayron, MD

Title

President

Phone

(787) 832-1585

Specialties & licenses 1

Addresses

Practitioners 4

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.

• Roberto Carlos Cummings, MD

  • Pain Medicine (Anesthesiology) Physician
  • Mayaguez, PR
  • NPI 1881817781
  NPD (past)
• Cesar A Detres, MD

  • Anesthesiology Physician
  • Mayaguez, PR
  • NPI 1023098084
  NPD (past)
• Cynthia Nkana, MD

  • Anesthesiology Physician
  • Danville, IL
  • NPI 1295800266
  NPD (past)
• Sofia Padilla, MD

  • Anesthesiology Physician
  • Mayaguez, PR
  • NPI 1932179157
  NPD (past)

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1215212519",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "ETHEL MARIN 1114",
            "address_2": "PASEO LOS ROBLES",
            "city": "MAYAGUEZ",
            "state": "PUERTO RICO",
            "postal_code": "00682",
            "telephone_number": "787-832-1585",
            "fax_number": "787-832-1585"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "ETHEL MARIN #1114",
            "address_2": "PASEO LOS ROBLES",
            "city": "MAYAGUEZ",
            "state": "PUERTO RICO",
            "postal_code": "00682",
            "telephone_number": "787-832-1585",
            "fax_number": "787-832-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICIOS PROFESIONALES AMBULATORIOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-18",
        "last_updated": "2012-05-03",
        "status": "A",
        "authorized_official_last_name": "BAYRON",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-832-1585",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PR",
            "license": "12790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; 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.