Ase MD LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ASE MD LLC

Practice address

Ext Villamar
1025 Marginal Villamar
Carolina, PR 00979-0097

Phone

(787) 726-3901

NPI assigned

Jun 23, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Adriana Sofia Emmanuelli, MDNPI 1730541327

Title

Owner

Phone

(787) 238-2959

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 4

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

• Adriana Sofia Emmanuelli, M.D.

  • Family Medicine Physician
  • Carolina, PR
  • NPI 1730541327

  PR

  Medicare reassignment NPD Authorized official
• Jose F Camunas, M.D.

  • Family Medicine Physician
  • Carolina, PR
  • NPI 1558309609
  NPD (past)
• Marian De Jesus, M.D.

  • Family Medicine Physician
  • Carolina, PR
  • NPI 1275557563
  NPD (past)
• Richard M Deandino, M.D.

  • Family Medicine Physician
  • Carolina, PR
  • NPI 1881681195
  NPD (past)

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1639748767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 AVE PONCE DE LEON APT 705",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009073351",
            "telephone_number": "787-238-2959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EXT VILLAMAR",
            "address_2": "1025 MARGINAL VILLAMAR",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009790097",
            "telephone_number": "787-726-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "EMMANUELLI",
        "authorized_official_first_name": "ADRIANA",
        "authorized_official_middle_name": "SOFIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-238-2959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yadira Del Carmen Arroyo Burgos, SW
• Alice Marie Arroyo, DMD
• Doris Nydia Arroyo, MSW
• Victor Manuel Arroyo, MD
• Rosita Arzuaga, MD
• Assisting Hands Medical Services LLC
• Assmca
• Assmca
• Assmca
• Atlantis Health Care Group Puerto Rico, Inc.

• All providers in Carolina, PR
• Primary Care Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.