Servanda C Fleitas Macias

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4619 Issued in PR

Practice address

HF16 Calle Lizzie Graham
7Ma Seccion Levittown
Toa Baja, PR 00949-3634

Phone

(787) 795-2935

Fax

(787) 784-0680

NPI assigned

Aug 14, 2006

Last updated

Sep 20, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1971

Medicare assignment

May accept Medicare assignment

Group practices

CSM Servicios de Cuidado IncGroup PAC ID 0042394017, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CSM Servicios de Cuidado Inc.

  • Primary Care Clinic/Center
  • Toa Baja, PR
  • NPI 1639367154
  Medicare reassignment Care Compare group
• CRM Group Practice

  • Physical Therapy Clinic/Center
  • Toa Baja, PR
  • NPI 1760627988
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1295748390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51513",
            "address_2": "LEVITTOWN STATION",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009501513",
            "telephone_number": "787-795-2935",
            "fax_number": "787-784-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HF16 CALLE LIZZIE GRAHAM",
            "address_2": "7MA SECCION LEVITTOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009493634",
            "telephone_number": "787-795-2935",
            "fax_number": "787-784-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEITAS MACIAS",
        "first_name": "SERVANDA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "4619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge Figueroa, D.M.D.
• Jose F Figueroa, RPH
• Zayana Figueroa, MA
• First Optical Center
• Fisioterapia Centro de Servicios Medicos de Levittown Inc
• Marleene Flores, ND
• Jesus Fonseca, PT
• Yolynette Rivera Fontanez
• Yolianne Delis Fres-Velez
• Anselmo Fuentes-Aponte, MD

• Internal Medicine Physician in Toa Baja, PR
• Providers in Toa Baja, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.