Northern Medical Services Group Copr

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

183250 Issued in PR

Legal business name

NORTHERN MEDICAL SERVICES GROUP COPR

Practice address

Calle Colon # 106
Aguada, PR 00602-3166

Phone

(939) 940-8715

Fax

(787) 883-4434

NPI assigned

Dec 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Frank A Rodriguez Serrano, MD

Title

Presidente

Phone

(939) 940-8715

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228694400000",
    "number": "1275778003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9415",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009609415",
            "telephone_number": "939-940-8715",
            "fax_number": "787-883-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE COLON # 106",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006023166",
            "telephone_number": "939-940-8715",
            "fax_number": "787-883-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN MEDICAL SERVICES GROUP COPR",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-08",
        "last_updated": "2008-12-08",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ SERRANO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "939-940-8715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "PR",
            "license": "183250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "183250  REGISTER CERTIFIED",
            "identifier": "183250",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Aguada, PR
• Providers in Aguada, PR by specialty
• Multi-Specialty Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; 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.