Medicos Selectos de P.R. Inc

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

MEDICOS SELECTOS DE P.R. INC

Practice address

25 Calle Lepanto
San Juan, PR 00926-1905

Phone

(787) 717-5655

NPI assigned

Oct 2, 2009

Last updated

Oct 2, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jose L Mundo Sr.

Title

Tesorero

Phone

(787) 717-5655

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254441600000",
    "number": "1518292986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801293",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007801293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CALLE LEPANTO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009261905",
            "telephone_number": "787-717-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICOS SELECTOS DE P.R. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-02",
        "last_updated": "2009-10-02",
        "status": "A",
        "authorized_official_last_name": "MUNDO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "TESORERO",
        "authorized_official_telephone_number": "787-717-5655",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medico En Tu Casa
• Medico Xpreso Multi Group LLC (Medico Xpreso)
• Medicos de Familia Imf, CSP
• Medicos Especializados de Puerto Rico, PSC (Medicos Especializados de San Juan, PSC)
• Medicos Especializados de San Juan
• Mediexpreess
• Mediexpreso LLC
• Ivonne Maria Medina Campusano
• Sofia Medina Caraballo
• Annie Medina Castro, LICENCIADA

• Health Maintenance Organization in San Juan, PR
• Providers in San Juan, PR by specialty
• Health Maintenance Organization in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2009; 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.