Clinica Borinquen Medical Services, CSP

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

10994 Issued in PR

Legal business name

CLINICA BORINQUEN MEDICAL SERVICES, CSP

Practice address

Urb Country Club PQ-24
Ave El Comandante
Carolina, PR 00982

Phone

(787) 762-9409

Fax

(787) 701-1134

NPI assigned

Aug 6, 2009

Organization subpart

No

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

Authorized official

Name

Omayra Rodriguez

Title

Manager

Phone

(787) 762-9409

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 1

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

• Edgardo Noel Rosario Burgos, MD

  • General Practice Physician
  • Carolina, PR
  • NPI 1699765040
  Medicare reassignment NPD

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591920000000",
    "number": "1497986574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB COUNTRY CLUB PQ-24",
            "address_2": "AVE EL COMANDANTE",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00982",
            "telephone_number": "787-762-9409",
            "fax_number": "787-701-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB COUNTRY CLUB PQ-24",
            "address_2": "AVE EL COMANDANTE",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00982",
            "telephone_number": "787-762-9409",
            "fax_number": "787-701-1134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Ave Isla Verde Esq Neptuno #63",
            "address_2": "Isla Verde",
            "address_purpose": "LOCATION",
            "city": "Carolina",
            "state": "PR",
            "postal_code": "00982",
            "country_code": "US",
            "telephone_number": "787-727-8400",
            "fax_number": "787-727-7654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLINICA BORINQUEN MEDICAL SERVICES, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-06",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "OMAYRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "787-762-9409"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "10994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aurea Cintron
• Jeanette Marie Cintron
• Delma Ciuro, MD
• Clarity Vision LLC
• Pedro Juan Claudio, MD
• Clinica de Tratamiento Expresarte LLC
• Clinica Dental Doz
• Clinica Dental Familiar
• Clinica Dental Plaza, PSC
• Clinica Fonomundi Corp

• General Practice Physician in Carolina, PR
• Providers in Carolina, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; 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.