Organization Active NPI

Cmda Medical Services PSC

  • Clinic/Center
  • Bayamon, PR
National Provider Identifier
1316245582
Registry record updated Mar 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
14638 Issued in PR
Legal business name
CMDA MEDICAL SERVICES PSC
Practice address
51 Calle Dr Veve Ste 1
Bayamon, PR 00961-6374
Phone
(787) 780-1445
NPI assigned
Mar 11, 2011
Last updated
Mar 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2011

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

Authorized official

Name
Dr. Juan Pagan
Title
President
Phone
(787) 780-1445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 14638 PR Primary

Addresses

Primary practice location

51 Calle Dr Veve Ste 1
Bayamon, PR 00961-6374

Mailing address

PO Box 6181
Station 1
Bayamon, PR 00960-5181
Phone (787) 780-1445

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1299801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1316245582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6181",
            "address_2": "STATION 1",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009605181",
            "telephone_number": "787-780-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 CALLE DR VEVE STE 1",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616374",
            "telephone_number": "787-780-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMDA MEDICAL SERVICES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-11",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "PAGAN",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-780-1445",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": "14638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; 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.