Active NPI
Servicios Especializados En
- General Practice Physician
- Yauco, PR
National Provider Identifier
1598734311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- SERVICIOS ESPECIALIZADOS EN
- Practice address
- Calle 25 de Julio #17
Yauco, PR 00698 - Phone
- (787) 267-5923
- Fax
- (787) 267-5923
- NPI assigned
- Mar 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Eva M De Jesus
- Title
- Administradora
- Phone
- (787) 267-5923
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
Calle 25 de Julio #17
Yauco, PR 00698
Mailing address
PO Box 3067
Yauco, PR 00698-3067
Phone (787) 267-5923
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Yauco, PR
- NPI 1679542690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1367280000000",
"number": "1598734311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3067",
"city": "YAUCO",
"state": "PR",
"postal_code": "006983067",
"telephone_number": "787-267-5923",
"fax_number": "787-267-5923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE 25 DE JULIO #17",
"city": "YAUCO",
"state": "PR",
"postal_code": "00698",
"telephone_number": "787-267-5923",
"fax_number": "787-267-5923"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERVICIOS ESPECIALIZADOS EN",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-15",
"last_updated": "2013-04-30",
"status": "A",
"authorized_official_last_name": "DE JESUS",
"authorized_official_first_name": "EVA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "ADMINISTRADORA",
"authorized_official_telephone_number": "787-267-5923",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yauco, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.