Premier Pain & Spine Specialists LLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

PREMIER PAIN & SPINE SPECIALISTS LLC

Practice address

Carr. 159 KM. 13.2 Bo. Cibuco
Corozal, PR 00783

Phone

(787) 957-3140

NPI assigned

Aug 8, 2019

Organization subpart

No

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

Authorized official

Name

Luis D Baez-Cabrera, MDNPI 1386961530

Title

Director

Phone

(787) 810-7682

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 2

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

• Luis D Baez-Cabrera, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Bayamon, PR
  • NPI 1386961530
  Medicare reassignment NPD Authorized official
• Hector Delucca Jimenez, M.D.

  • Pain Medicine Physician
  • Caguas, PR
  • NPI 1295963155

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565222400000",
    "number": "1407401169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2579",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009602579",
            "telephone_number": "787-957-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 159 KM. 13.2 BO. CIBUCO",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "00783",
            "telephone_number": "787-957-3140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20-27 Carr 174",
            "address_purpose": "LOCATION",
            "city": "Bayamon",
            "state": "PR",
            "postal_code": "009596617",
            "country_code": "US",
            "telephone_number": "787-957-3140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIER PAIN & SPINE SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A",
        "authorized_official_last_name": "BAEZ-CABRERA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-810-7682",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sofia Alejandra Perez
• Plaza del Carmen Medical Services Inc.
• Plaza del Carmen Medical Services Inc.
• Plaza del Carmen Medical Services, Inc.
• PMC Marketing Corp
• Professional Consultant of Affective Labor an Educational Training Cor
• Programa de Servicios de Salud En El Hogar Geminis Inc
• Programa de Servicios de Salud En El Hogar Geminis Inc
• Programa de Servicios de Salud En El Hogar Geminis Inc
• Prosabi LLC

• Pain Clinic/Center in Corozal, PR
• Providers in Corozal, PR by specialty
• Pain Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.