Organization Active NPI

Multidisciplinary Medical Service LLC

  • Specialist
  • Humacao, PR
National Provider Identifier
1306186432
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MULTIDISCIPLINARY MEDICAL SERVICE LLC
Practice address
Calle Luis Munoz Marin
Esquina Ulises Martinez 55
Humacao, PR 00791
Phone
(787) 852-2470
Fax
(787) 285-4165
NPI assigned
Feb 27, 2013
Organization subpart
Yes
Parent organization
GUMET INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Authorized official

Name
Mrs. Wanda Garcia
Title
Oficinista Adm.
Phone
(787) 852-2470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

Calle Luis Munoz Marin
Esquina Ulises Martinez 55
Humacao, PR 00791

Mailing address

216 Villa Station
Villa Universitaria
Humacao, PR 00791
Phone (787) 852-2470

National Provider Directory

National Provider Directory
Part of
Grupo Unidos de Mmedicos del Este

Locations

55 Calle Ulises Martinez N
Humacao, PR 00791
Phone (787) 285-5307

NPI Registry JSON

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1306186432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 VILLA STATION",
            "address_2": "VILLA UNIVERSITARIA",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-852-2470",
            "fax_number": "787-285-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE LUIS MUNOZ MARIN",
            "address_2": "ESQUINA ULISES MARTINEZ 55",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-852-2470",
            "fax_number": "787-285-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTIDISCIPLINARY MEDICAL SERVICE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GUMET INC.",
        "enumeration_date": "2013-02-27",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "OFICINISTA ADM.",
        "authorized_official_telephone_number": "787-852-2470",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.