Active NPI
North Surgical Services Corp,PSC
- Surgery Physician
- Manati, PR
National Provider Identifier
1366854689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- NORTH SURGICAL SERVICES CORP,PSC
- Practice address
- Torre Medica Dr Pedro Blanco Lugo
Suite 205
Manati, PR 00674 - Phone
- (787) 884-8337
- Fax
- (787) 854-3287
- NPI assigned
- May 21, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Juanita Santiago
- Title
- Assistant
- Phone
- (787) 212-8063
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
Torre Medica Dr Pedro Blanco Lugo
Suite 205
Manati, PR 00674
Mailing address
Torre Medica Dr Pedro Blanco Lugo
Suite 205
Manati, PR 00674
Phone (787) 884-8337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427198746 | Other | PR | NATIONAL PROVIDER IDENTIFICATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Manati, PR
- NPI 1427198746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717632000000",
"number": "1366854689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "TORRE MEDICA DR PEDRO BLANCO LUGO",
"address_2": "SUITE 205",
"city": "MANATI",
"state": "PR",
"postal_code": "00674",
"telephone_number": "787-884-8337",
"fax_number": "787-854-3287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "TORRE MEDICA DR PEDRO BLANCO LUGO",
"address_2": "SUITE 205",
"city": "MANATI",
"state": "PR",
"postal_code": "00674",
"telephone_number": "787-884-8337",
"fax_number": "787-854-3287"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH SURGICAL SERVICES CORP,PSC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-21",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A",
"authorized_official_last_name": "SANTIAGO",
"authorized_official_first_name": "JUANITA",
"authorized_official_title_or_position": "ASSISTANT",
"authorized_official_telephone_number": "787-212-8063",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL PROVIDER IDENTIFICATION",
"identifier": "1427198746",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manati, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.