Organization Active NPI

Assertive Surgical Network, LLC

Doing business as Caribbean Surgicare

  • Ambulatory Surgical Clinic/Center
  • Ponce, PR
National Provider Identifier
1417722372
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ASSERTIVE SURGICAL NETWORK, LLC
Doing business as
Caribbean Surgicare
Practice address
2500 Calle Obispado
Urb. Jardines Fagot
Ponce, PR 00716
Phone
(787) 813-1010
NPI assigned
Nov 21, 2023
Last updated
Apr 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Authorized official

Name
Juan M Pagan, MHSA
Title
Credentialing
Phone
(787) 813-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

2500 Calle Obispado
Urb. Jardines Fagot
Ponce, PR 00716

Mailing address

604 Calle Felipe Segundo
Mansion Real
Coto Laurel, PR 00780
Phone (787) 415-1142

Other practice location 1

Mansion Real 604 Calle Felipe Segundo
Coto Laurel, PR 00780
Phone (787) 415-1142

Other names 2

  • Caribbean Surgicare Doing business as
  • Assertive Surgical Network Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250123002501 PR Part B Supplier - Ambulatory Surgical Center 3779012588 Receives reassigned benefits from 2 practitioners
Practice locations: Ponce, PR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417722372. Details of each certification follow.

Ambulatory surgical center certification: CCN 40C0001111

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Caribbean Surgicare
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Aug 1, 2025
Last certification
Jun 12, 2025
Facility address
2500 Calle Obispo
Ponce, PR 00716

National Provider Directory

National Provider Directory

Locations

2500 Calle Obispado
Ponce, PR 00716
Phone (787) 371-1915

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1417722372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 CALLE FELIPE SEGUNDO",
            "address_2": "MANSION REAL",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "00780",
            "telephone_number": "787-415-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 CALLE OBISPADO",
            "address_2": "URB. JARDINES FAGOT",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-813-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Mansion Real 604 Calle Felipe Segundo",
            "address_purpose": "LOCATION",
            "city": "Coto Laurel",
            "state": "PR",
            "postal_code": "00780",
            "country_code": "US",
            "telephone_number": "787-415-1142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASSERTIVE SURGICAL NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-21",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "PAGAN",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "787-813-1010",
        "authorized_official_credential": "MHSA"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caribbean Surgicare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Assertive Surgical Network",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Assertive Surgical Network",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.