Medical Service of PR CSP

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MEDICAL SERVICE OF PR CSP

Practice address

Calle Corchado Final
CDT Canovanas
Canovanas, PR 00729

Phone

(787) 876-5000

Fax

(787) 876-2422

NPI assigned

Apr 17, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Victor M Simons, MD

Title

President

Phone

(787) 316-1514

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1215324157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1649",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007291649",
            "telephone_number": "787-876-5000",
            "fax_number": "787-876-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE CORCHADO FINAL",
            "address_2": "CDT CANOVANAS",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "00729",
            "telephone_number": "787-876-5000",
            "fax_number": "787-876-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SERVICE OF PR CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "SIMONS",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-316-1514",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karina Marie Martinez Rivera, MA
• Carmen Laura Martinez, MD
• Edwin Martinez, MD
• Naylu Noherry Martinez, MSW, MD
• Eneida A Mateo, MSW
• Medina Medical Transport Corporation
• Medina Medical Transport EMS Corp.
• Zulma Maria Melendez, PHARMACYST
• Javier Isai Mendez Lozada, PSYD
• Josem Omar Mendez Rios

• Clinic/Center in Canovanas, PR
• Providers in Canovanas, PR by specialty
• Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; 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.