Organization Active NPI

Servicios Especializados En

  • General Practice Physician
  • Yauco, PR
National Provider Identifier
1598734311
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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

Updated by the provider on Apr 30, 2013

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20070803000506 PR Part B Supplier - Clinic/Group Practice 4082705124 Receives reassigned benefits from 1 practitioner
Practice locations: Yauco, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.