Organization Active NPI

RS Centro Medicina Avanzada, Corp

  • Family Medicine Physician
  • Coamo, PR
National Provider Identifier
1346214129
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04PU7-00000-04656 Issued in PR
Legal business name
RS CENTRO MEDICINA AVANZADA, CORP
Practice address
20 Calle Bobby Capo
Coamo, PR 00769-2416
Phone
(787) 803-0040
Fax
(787) 803-0070
NPI assigned
Feb 16, 2006
Last updated
Aug 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Authorized official

Name
Mildred Rivera Santiago
Title
Administradora
Phone
(787) 202-5953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04PU7-00000-04656 PR Primary

Addresses

Primary practice location

20 Calle Bobby Capo
Coamo, PR 00769-2416

Mailing address

20 Calle Bobby Capo
Coamo, PR 00769-2416
Phone (787) 803-0040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050408000055 PR Part B Supplier - Clinic/Group Practice 4082661376 Receives reassigned benefits from 1 practitioner
Practice locations: Coamo, PR

National Provider Directory

National Provider Directory

Locations

20 Calle Bobby Capo
Coamo, PR 00769
Phone (787) 560-4557

Practitioners & affiliated clinicians

Practitioners 8

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": "1140048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1346214129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CALLE BOBBY CAPO",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007692416",
            "telephone_number": "787-803-0040",
            "fax_number": "787-803-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CALLE BOBBY CAPO",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007692416",
            "telephone_number": "787-803-0040",
            "fax_number": "787-803-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RS CENTRO MEDICINA AVANZADA, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-16",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "RIVERA SANTIAGO",
        "authorized_official_first_name": "MILDRED",
        "authorized_official_title_or_position": "ADMINISTRADORA",
        "authorized_official_telephone_number": "787-202-5953"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "04PU7-00000-04656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coamo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.