Organization Active NPI

Servicios Medicos Juana Diaz- Villalba CRL

  • Specialist
  • Juana Diaz, PR
National Provider Identifier
1659720100
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SERVICIOS MEDICOS JUANA DIAZ- VILLALBA CRL
Practice address
47 Calle Munoz Rivera Esquina Santiago Iglesias
Juana Diaz, PR 00795-1422
Phone
(787) 260-0447
Fax
(787) 260-6147
NPI assigned
Jun 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Authorized official

Name
Mr. Ricardo J Montero Santiago
Title
Administrator
Phone
(787) 260-0447

Specialties & licenses 1

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

Addresses

Primary practice location

47 Calle Munoz Rivera Esquina Santiago Iglesias
Juana Diaz, PR 00795-1422

Mailing address

PO Box 1422
Juana Diaz, PR 00795-1422
Phone (787) 260-0447

National Provider Directory

National Provider Directory

Locations

47 Calle Munoz Rivera
Juana Diaz, PR 00795
Phone (787) 260-0447

NPI Registry JSON

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1659720100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1422",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007951422",
            "telephone_number": "787-260-0447",
            "fax_number": "787-260-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 CALLE MUNOZ RIVERA ESQUINA SANTIAGO IGLESIAS",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007951422",
            "telephone_number": "787-260-0447",
            "fax_number": "787-260-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICIOS MEDICOS JUANA DIAZ- VILLALBA CRL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "MONTERO SANTIAGO",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-260-0447",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juana Diaz, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.