Medicos Especializados de Puerto Rico, PSC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

15828 Issued in PR

Legal business name

MEDICOS ESPECIALIZADOS DE PUERTO RICO, PSC

Doing business as

Medicos Especializados de San Juan, PSC

Practice address

29 Calle Washington
Suite 104
San Juan, PR 00907-1510

Phone

(305) 926-0593

NPI assigned

Aug 9, 2010

Organization subpart

No

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

Authorized official

Name

Alejandro Porrata, MD

Title

Physician

Phone

(305) 926-5036

Specialties & licenses 1

Addresses

Other names 1

• Medicos Especializados de San Juan, PSC Doing business as

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281312000000",
    "number": "1457666901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16698",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009086698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 CALLE WASHINGTON",
            "address_2": "SUITE 104",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071510",
            "telephone_number": "305-926-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICOS ESPECIALIZADOS DE PUERTO RICO, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-09",
        "last_updated": "2010-08-09",
        "status": "A",
        "authorized_official_last_name": "PORRATA",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "305-926-5036",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "PR",
            "license": "15828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicos Especializados de San Juan, PSC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medicbus, Inc.
• Medicina Interna & Geriatria Dra. Vanessa Sepulveda
• Medico En Tu Casa
• Medico Xpreso Multi Group LLC (Medico Xpreso)
• Medicos de Familia Imf, CSP
• Medicos Especializados de San Juan
• Medicos Selectos de P.R. Inc
• Mediexpreess
• Mediexpreso LLC
• Ivonne Maria Medina Campusano

• Pain Clinic/Center in San Juan, PR
• Providers in San Juan, 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 9, 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.