NPIMap

Organization Active NPI

Sky Medical Group & Resources CSP

  • Health Service Clinic/Center
  • Lares, PR
National Provider Identifier
1366766826
Registry record updated Mar 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
261QH0100X Issued in PR
Legal business name
SKY MEDICAL GROUP & RESOURCES CSP
Practice address
129 Street 24.8KM
Bo Callejones
Lares, PR 00669-0819
Phone
(787) 897-7877
NPI assigned
Mar 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2010

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

Authorized official

Name
Mrs. Miriam Gonzalez Rodriguez
Title
Administradora
Phone
(787) 370-8994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 261QH0100X PR Primary

Addresses

Primary practice location

129 Street 24.8KM
Bo Callejones
Lares, PR 00669-0819

Mailing address

PO Box 819
Suite 1
Lares, PR 00669-0819
Phone (787) 897-7877

Other identifiers 1

IdentifierTypeStateIssuer
021261OtherPRLICENSE NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269561600000",
    "number": "1366766826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 819",
            "address_2": "SUITE 1",
            "city": "LARES",
            "state": "PR",
            "postal_code": "006690819",
            "telephone_number": "787-897-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 STREET 24.8KM",
            "address_2": "BO CALLEJONES",
            "city": "LARES",
            "state": "PR",
            "postal_code": "006690819",
            "telephone_number": "787-897-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY MEDICAL GROUP & RESOURCES CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-26",
        "last_updated": "2010-03-26",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ RODRIGUEZ",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "ADMINISTRADORA",
        "authorized_official_telephone_number": "787-370-8994",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "PR",
            "license": "261QH0100X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "021261",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lares, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; 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.