Organization Active NPI

Servicios Medicos del Noreste

  • Health Maintenance Organization
  • Fajardo, PR
National Provider Identifier
1609290303
Registry record updated Feb 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
12274 Issued in PR
Legal business name
SERVICIOS MEDICOS DEL NORESTE
Practice address
410 Ave General Valero
Suite 307
Fajardo, PR 00738-3949
Phone
(787) 863-4058
Fax
(787) 801-7344
NPI assigned
Feb 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2014

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

Authorized official

Name
Mr. Luis R Alvarado, M.D.
Title
Resident
Phone
(787) 863-4058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 12274 PR Primary

Addresses

Primary practice location

410 Ave General Valero
Suite 307
Fajardo, PR 00738-3949

Mailing address

410 Ave General Valero
Suite 307
Fajardo, PR 00738-3949
Phone (787) 863-4058

Other identifiers 1

IdentifierTypeStateIssuer
332606OtherPRPROFESSIONAL CORPORATION REGISTRATION NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1392422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392422400000",
    "number": "1609290303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 AVE GENERAL VALERO",
            "address_2": "SUITE 307",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007383949",
            "telephone_number": "787-863-4058",
            "fax_number": "787-801-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 AVE GENERAL VALERO",
            "address_2": "SUITE 307",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007383949",
            "telephone_number": "787-863-4058",
            "fax_number": "787-801-7344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICIOS MEDICOS DEL NORESTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-15",
        "last_updated": "2014-02-15",
        "status": "A",
        "authorized_official_last_name": "ALVARADO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "RESIDENT",
        "authorized_official_telephone_number": "787-863-4058",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "PR",
            "license": "12274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL CORPORATION REGISTRATION NUMBER",
            "identifier": "332606",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.