Organization Active NPI

PRRX Specialty Solutions Inc.

Doing business as Medplus Specialty

  • Specialty Pharmacy
  • San Juan, PR
National Provider Identifier
1235605197
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
PRRX SPECIALTY SOLUTIONS INC.
Doing business as
Medplus Specialty
Practice address
282 Ave Jesus T Pinero Ste 208
San Juan, PR 00927-3917
Phone
(787) 523-2900
NPI assigned
Oct 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

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

Authorized official

Name
Dr. Sultan Saleh Yassin, PHARMD
Title
President
Phone
(787) 532-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X Primary

Addresses

Primary practice location

282 Ave Jesus T Pinero Ste 208
San Juan, PR 00927-3917

Mailing address

PO Box 364109
San Juan, PR 00936-4109

Other identifiers 1

IdentifierTypeStateIssuer
3573OtherPRDEPARTMENT OF HEALTH

Other names 1

  • Medplus Specialty Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200103001827 PR Part B Supplier - Pharmacy 5799119400 Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Tax ID family
Medplus Solutions2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

282 Ave Jesus T Pinero
Ste 208
San Juan, PR 00927
Phone (787) 523-2900

NPI Registry JSON

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539820800000",
    "number": "1235605197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 364109",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009364109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 AVE JESUS T PINERO STE 208",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009273917",
            "telephone_number": "787-523-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRRX SPECIALTY SOLUTIONS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-18",
        "last_updated": "2018-10-18",
        "status": "A",
        "authorized_official_last_name": "YASSIN",
        "authorized_official_first_name": "SULTAN",
        "authorized_official_middle_name": "SALEH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-532-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "3573",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medplus Specialty",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; 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.