Servicios Preventivos de Salud de Puerto Rico, Corp.

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

Legal business name

SERVICIOS PREVENTIVOS DE SALUD DE PUERTO RICO, CORP.

Doing business as

Servicios Preventivos de Salud de Mayaguez Puerto Rico, Corp.

Practice address

25 Calle Mendez Vigo W
Mayaguez, PR 00680-6756

Phone

(787) 896-1850

Fax

(787) 280-9497

NPI assigned

Sep 25, 2020

Organization subpart

No

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

Authorized official

Name

Vivian Feliciano Nieves

Title

Executive Director

Phone

(787) 896-1850

Specialties & licenses 1

Addresses

Other names 1

• Servicios Preventivos de Salud de Mayaguez Puerto Rico, Corp. Doing business as

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1346857232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 486",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006850486",
            "telephone_number": "787-896-1850",
            "fax_number": "787-280-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CALLE MENDEZ VIGO W",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006806756",
            "telephone_number": "787-896-1850",
            "fax_number": "787-280-9497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICIOS PREVENTIVOS DE SALUD DE PUERTO RICO, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "FELICIANO NIEVES",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-896-1850"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Servicios Preventivos de Salud de Mayaguez Puerto Rico, Corp.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Public Health & General Preventive Medicine Physician in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Public Health & General Preventive Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.