Servicios Medicos Eqr CSP

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

10395 Issued in PR

Legal business name

SERVICIOS MEDICOS EQR CSP

Practice address

Bo Piedras Blancas Desvio Sur Nativo Alers C417
Aguada, PUERTO RICO 00602
UM

Phone

(787) 868-4378

Fax

(787) 868-4378

NPI assigned

May 4, 2017

Last updated

May 4, 2017By 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

Evaristo Quinones

Title

Director

Phone

(787) 868-4378

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Tax ID family

Servicios Medicos Eqr CSP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Servicos Medicos Eqr CSP

  • General Practice Physician
  • Aguada, PR
  • NPI 1558117648
  NPD tax ID

Practitioners 1

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.

• Evaristo Quinones Ruiz, M.D.

  • General Practice Physician
  • Aguada, PR
  • NPI 1932255353
  Medicare reassignment NPD

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

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493856000000",
    "number": "1578099974",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "HC 58 BOX 14748",
            "city": "AGUADA",
            "state": "PUERTO RICO",
            "postal_code": "00602",
            "telephone_number": "787-868-4378",
            "fax_number": "787-868-4378"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "BO PIEDRAS BLANCAS DESVIO SUR NATIVO ALERS C417",
            "city": "AGUADA",
            "state": "PUERTO RICO",
            "postal_code": "00602",
            "telephone_number": "787-868-4378",
            "fax_number": "787-868-4378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICIOS MEDICOS EQR CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-04",
        "last_updated": "2017-05-04",
        "status": "A",
        "authorized_official_last_name": "QUINONES",
        "authorized_official_first_name": "EVARISTO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-868-4378"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "PR",
            "license": "10395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.