Active NPI
Maximal Health PR, PSC
- Cardiovascular Disease Physician
- San Juan, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 13917
- Legal business name
- MAXIMAL HEALTH PR, PSC
- Practice address
- 1452 Ave Fernandez Juncos
San Juan, PR 00909-2655 - Phone
- (787) 470-7171
- Fax
- (787) 722-2374
- NPI assigned
- Apr 19, 2012
- Last updated
- Jan 22, 2015
- 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
- Dr. Felix David Lugo Adams, MD
- Title
- President
- Phone
- (787) 948-2232
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 13917 | PR | |
| Cardiovascular Disease Physician | 207RC0000X | 13917 | PR | Primary |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 13917 | PR | |
| Interventional Cardiology Physician | 207RI0011X | 13917 | PR |
Addresses
Primary practice location
1452 Ave Fernandez Juncos
San Juan, PR 00909-2655
Mailing address
7519 Urb Mariani
Calle Dr Lopez Nussa
Ponce, PR 00717
Phone (787) 948-2232
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1452 Ave Fernandez Juncos
San Juan, PR 00909
Phone (787) 470-7171
1801 Ave Ponce de Leon
Ste 311
Santurce, PR 00909
Phone (787) 727-2424
30 Carr 2
Vega Alta, PR 00692
Phone (787) 206-5686
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Interventional Cardiology Physician
- San Juan, PR
- NPI 1669446928
Cardiovascular Disease
-
- Optometrist
- Vega Alta, PR
- NPI 1740452432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421884800000",
"number": "1609133321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7519 URB MARIANI",
"address_2": "CALLE DR LOPEZ NUSSA",
"city": "PONCE",
"state": "PR",
"postal_code": "00717",
"telephone_number": "787-948-2232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1452 AVE FERNANDEZ JUNCOS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009092655",
"telephone_number": "787-470-7171",
"fax_number": "787-722-2374"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAXIMAL HEALTH PR, PSC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-19",
"last_updated": "2015-01-22",
"status": "A",
"authorized_official_last_name": "LUGO ADAMS",
"authorized_official_first_name": "FELIX",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-948-2232",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "PR",
"license": "13917",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PR",
"license": "13917",
"primary": true
},
{
"code": "207RC0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "PR",
"license": "13917",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "PR",
"license": "13917",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.