Organization Active NPI

North Surgical Services Corp,PSC

  • Surgery Physician
  • Manati, PR
National Provider Identifier
1366854689
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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

Updated by the provider on Jun 6, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1427198746OtherPRNATIONAL PROVIDER IDENTIFICATION

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150623001523 PR Part B Supplier - Clinic/Group Practice 2365753902 Receives reassigned benefits from 1 practitioner
Practice locations: Arecibo, PR; Manati, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.