Puerto Rico Concierge & Internal Medicine Services

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

PUERTO RICO CONCIERGE & INTERNAL MEDICINE SERVICES

Practice address

B35 Calle Elliot Velez
Manati, PR 00674-4615

Phone

(787) 970-5277

Fax

(877) 991-8663

NPI assigned

Feb 13, 2017

Organization subpart

No

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

Authorized official

Name

Ronald Collazo Pagan, MDNPI 1194958041

Title

President

Phone

(787) 970-5277

Specialties & licenses 1

Addresses

Other names 1

• PR Concierge & Internal Medicine Services Other name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

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

• Ronald Collazo Pagan, M.D.

  • Internal Medicine Physician
  • Manati, PR
  • NPI 1194958041

  PR

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1346789260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 CALLE MANUEL DOMENECH STE 1",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183513",
            "telephone_number": "787-296-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B35 CALLE ELLIOT VELEZ",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006744615",
            "telephone_number": "787-970-5277",
            "fax_number": "877-991-8663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 Calle Manuel Domenech Ste 1",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009183513",
            "country_code": "US",
            "telephone_number": "787-296-4949",
            "fax_number": "877-991-8663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PUERTO RICO CONCIERGE & INTERNAL MEDICINE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "COLLAZO PAGAN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-970-5277",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PR Concierge & Internal Medicine Services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "PR Concierge & Internal Medicine Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Producciones Pequenos Parlantes Inc
• Professional Hospital, Inc
• Professional Nutrition by Lcda. Daina Vega Miranda LLC
• Promed Center LLC
• Puerto Rico Clinical Reference Laboratory
• Puerto Rico Gastro Care P.S.C.
• Puerto Rico Gastroenterology LLC
• Puerto Rico Lung Institute LLC
• Puerto Rico Neurosurgery & Spine, LLC
• Quality Pharmacy Inc

• All providers in Manati, PR
• Health Service Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.