Active NPI
Patient Care Services Inc.
- Child Physical Disabilities Respite Care
- Toa Alta, PR
National Provider Identifier
1245531839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Physical Disabilities Respite Care
- Legal business name
- PATIENT CARE SERVICES INC.
- Practice address
- Ciudad Jardin III
Flamboyan 197
Toa Alta, PR 00953 - Phone
- (787) 910-8499
- NPI assigned
- Nov 12, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ivan J Medina, HIA
- Title
- Vicepresident
- Phone
- (787) 910-8499
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | |||
| Child Physical Disabilities Respite Care | 385HR2065X | Primary |
Addresses
Primary practice location
Ciudad Jardin III
Flamboyan 197
Toa Alta, PR 00953
Mailing address
Ciudad Jardin III
Flamboyan 197
Toa Alta, PR 00953
Phone (787) 910-8499
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65D57 | Other | PR | CAGE/NCAGE |
| 964742519 | Other | PR | DUNS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289779200000",
"number": "1245531839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CIUDAD JARDIN III",
"address_2": "FLAMBOYAN 197",
"city": "TOA ALTA",
"state": "PR",
"postal_code": "00953",
"telephone_number": "787-910-8499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CIUDAD JARDIN III",
"address_2": "FLAMBOYAN 197",
"city": "TOA ALTA",
"state": "PR",
"postal_code": "00953",
"telephone_number": "787-910-8499"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATIENT CARE SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-12",
"last_updated": "2010-11-15",
"status": "A",
"authorized_official_last_name": "MEDINA",
"authorized_official_first_name": "IVAN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "VICEPRESIDENT",
"authorized_official_telephone_number": "787-910-8499",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "HIA"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2065X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Physical Disabilities, Child",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAGE/NCAGE",
"identifier": "65D57",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DUNS",
"identifier": "964742519",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toa Alta, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.