Organization Active NPI

Centro de Servicios Medicos Inc

  • Emergency Care Clinic/Center
  • Toa Baja, PR
National Provider Identifier
1467767079
Registry record updated Jul 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
License
51 Issued in PR
Legal business name
CENTRO DE SERVICIOS MEDICOS INC
Practice address
Lizzie Graham HF16 Septima Seccion
Levittown
Toa Baja, PR 00949-0000
Phone
(787) 795-2935
Fax
(787) 784-0680
NPI assigned
Aug 9, 2010
Organization subpart
Yes
Parent organization
CENTRO DE SERVICIOS MEDICOS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 14, 2011

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

Authorized official

Name
Mr. Rafael L Roig
Title
Presidente
Phone
(787) 795-4810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X 51 PR Primary

Addresses

Primary practice location

Lizzie Graham HF16 Septima Seccion
Levittown
Toa Baja, PR 00949-0000

Mailing address

Lizzie Graham HF16 Septima Seccion
Levittown
Toa Baja, PR 00949-0000
Phone (787) 795-2935

Other identifiers 1

IdentifierTypeStateIssuer
51OtherPRLICENCIA

National Provider Directory

National Provider Directory
Tax ID family
Rayos X Centro de Servicios Medicos de Levittown5 organizations share this tax ID, including this one
Part of
Rayos X Centro de Servicios Medicos de Levittown

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310601600000",
    "number": "1467767079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LIZZIE GRAHAM HF16 SEPTIMA SECCION",
            "address_2": "LEVITTOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009490000",
            "telephone_number": "787-795-2935",
            "fax_number": "787-784-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LIZZIE GRAHAM HF16 SEPTIMA SECCION",
            "address_2": "LEVITTOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009490000",
            "telephone_number": "787-795-2935",
            "fax_number": "787-784-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE SERVICIOS MEDICOS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRO DE SERVICIOS MEDICOS INC",
        "enumeration_date": "2010-08-09",
        "last_updated": "2011-07-14",
        "status": "A",
        "authorized_official_last_name": "ROIG",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-795-4810",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "PR",
            "license": "51",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCIA",
            "identifier": "51",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; 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.