Organization Active NPI

Metro Bay Surgical Group CSP

  • Surgery Physician
  • Bayamon, PR
National Provider Identifier
1336545250
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
13412 Issued in PR
Legal business name
METRO BAY SURGICAL GROUP CSP
Practice address
Bayamon Medical Mall
1845 Carr #2 Oficina 307
Bayamon, PR 00959-7200
Phone
(787) 787-3535
Fax
(787) 787-3550
NPI assigned
Nov 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Authorized official

Name
Dr. Rafael A Torrellasruiz, M.D.
Title
Presidente
Phone
(787) 787-3535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 13412 PR Primary

Addresses

Primary practice location

Bayamon Medical Mall
1845 Carr #2 Oficina 307
Bayamon, PR 00959-7200

Mailing address

Bayamon Medical Mall
1845 Carr #2 Oficina 307
Bayamon, PR 00959-7200
Phone (787) 787-3535

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150122001162 PR Part B Supplier - Clinic/Group Practice 3870817869 Receives reassigned benefits from 1 practitioner
Practice locations: Bayamon, PR

National Provider Directory

National Provider Directory

Locations

1845 Carr 2
Ste 307
Bayamon, PR 00959
Phone (787) 622-0829

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1336545250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BAYAMON MEDICAL MALL",
            "address_2": "1845 CARR #2 OFICINA 307",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009597200",
            "telephone_number": "787-787-3535",
            "fax_number": "787-787-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BAYAMON MEDICAL MALL",
            "address_2": "1845 CARR #2 OFICINA 307",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009597200",
            "telephone_number": "787-787-3535",
            "fax_number": "787-787-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO BAY SURGICAL GROUP CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "TORRELLASRUIZ",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-787-3535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "PR",
            "license": "13412",
            "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 Nov 19, 2014; 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.