Organization Active NPI

Luis Paz Medical Services PSC

  • Specialist
  • Vega Baja, PR
National Provider Identifier
1609191782
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
LUIS PAZ MEDICAL SERVICES PSC
Practice address
12 Calle Baldorioty # B
Vega Baja, PR 00693-4368
Phone
(787) 855-2950
NPI assigned
Apr 1, 2010
Last updated
Jun 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Authorized official

Name
Luis Paz, MD
Title
President
Phone
(787) 638-5722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

12 Calle Baldorioty # B
Vega Baja, PR 00693-4368

Mailing address

PO Box 832
Manati, PR 00674-0832
Phone (787) 638-5722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100803000476 PR Part B Supplier - Clinic/Group Practice 5294868857 Receives reassigned benefits from 1 practitioner
Practice locations: Vega Baja, PR

National Provider Directory

National Provider Directory

Locations

12 Calle Baldorioty
#B
Vega Baja, PR 00693

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1609191782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 832",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006740832",
            "telephone_number": "787-638-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CALLE BALDORIOTY # B",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006934368",
            "telephone_number": "787-855-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS PAZ MEDICAL SERVICES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-01",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "PAZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-638-5722",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.

Verify at the official NPI Registry.