Medical Domiciliary Services LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MEDICAL DOMICILIARY SERVICES LLC

Practice address

Ciudad Jardin de Gurabo Number 168 Calle Cundeamor
Gurabo, PR 00778

Phone

(787) 627-0424

NPI assigned

Nov 15, 2012

Last updated

Nov 15, 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

Dr. Jorge Lopez

Title

President

Phone

(787) 627-0424

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1225372162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CIUDAD JARDIN DE GURABO NUMBER 168 CALLE CUNDEAMOR",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "00778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CIUDAD JARDIN DE GURABO NUMBER 168 CALLE CUNDEAMOR",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "00778",
            "telephone_number": "787-627-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL DOMICILIARY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-627-0424",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen J Matias
• Max Health LLC
• MB Clinical Laboratories East Corp. (Laboratorio Clinico Gurabo)
• MB Clinical Laboratories East Corp. (Laboratorio Clinico Villa Ana)
• MB Clinical Laboratories East Corp. (Laboratorio Clinico Villa Ana Gurabo)
• Mediko Medicina Primaria Corp
• Mediko Red Aliado Corp
• Lucia Medina - Torres, LPC
• Kristie M Medina Sanchez
• Aurora Melendez Collazo, MD

• General Practice Physician in Gurabo, PR
• Providers in Gurabo, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.