Organization Active NPI

Patient Care Services Inc.

  • Child Physical Disabilities Respite Care
  • Toa Alta, PR
National Provider Identifier
1245531839
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Physical Disabilities Respite CareTaxonomy code 385HR2065X
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

Updated by the provider on Nov 15, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
65D57OtherPRCAGE/NCAGE
964742519OtherPRDUNS

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.