Organization Active NPI

R.E.P Medical Serv, CSP

  • Internal Medicine Physician
  • Ponce, PR
National Provider Identifier
1285900811
Registry record updated Apr 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0016772 Issued in PR
Legal business name
R.E.P MEDICAL SERV, CSP
Practice address
2864 Calle Hibiscus
Urb Villa Flores
Ponce, PR 00716-2914
Phone
(787) 841-2878
Fax
(787) 841-2888
NPI assigned
Mar 28, 2012
Last updated
Apr 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2013

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

Authorized official

Name
Dr. Rafael J Espinet Perez, MDNPI 1487845780
Title
President
Phone
(787) 841-2878

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0016772 PR Primary

Addresses

Primary practice location

2864 Calle Hibiscus
Urb Villa Flores
Ponce, PR 00716-2914

Mailing address

2864 Calle Hibiscus
Urb Villa Flores
Ponce, PR 00716-2914
Phone (787) 841-2878

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130627000308 PR Part B Supplier - Clinic/Group Practice 4486893260 Receives reassigned benefits from 5 practitioners
Practice locations: Ponce, PR

National Provider Directory

National Provider Directory

Locations

2864 Calle Hibiscus
Ponce, PR 00716
Phone (787) 651-7076

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366934400000",
    "number": "1285900811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2864 CALLE HIBISCUS",
            "address_2": "URB VILLA FLORES",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162914",
            "telephone_number": "787-841-2878",
            "fax_number": "787-841-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2864 CALLE HIBISCUS",
            "address_2": "URB VILLA FLORES",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162914",
            "telephone_number": "787-841-2878",
            "fax_number": "787-841-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.E.P MEDICAL SERV, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2013-04-26",
        "status": "A",
        "authorized_official_last_name": "ESPINET PEREZ",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-841-2878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "0016772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; 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.