C&M Medical Services, P.S.C

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

17253 Issued in PR

Legal business name

C&M MEDICAL SERVICES, P.S.C

Practice address

Num. 27 Villa Nevarez Condominio Los Olmos
Suite 7a
San Juan, PR 00927

Phone

(787) 604-0236

NPI assigned

Apr 8, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Casandra Medina, M.D.

Title

Incorporator

Phone

(787) 604-0236

Specialties & licenses 1

Addresses

Practitioners 1

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

• Casandra Medina Jimenez, M.D.

  • General Practice Physician
  • San Juan, PR
  • NPI 1861648990
  NPD (past)

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239148800000",
    "number": "1669615522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1004",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006781004",
            "telephone_number": "787-604-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NUM. 27 VILLA NEVAREZ CONDOMINIO LOS OLMOS",
            "address_2": "SUITE 7A",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00927",
            "telephone_number": "787-604-0236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C&M MEDICAL SERVICES, P.S.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-08",
        "last_updated": "2009-04-08",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "CASANDRA",
        "authorized_official_title_or_position": "INCORPORATOR",
        "authorized_official_telephone_number": "787-604-0236",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "17253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BVR Ambulance Best Care Inc
• C L a Dental Group
• C O P R Medical Group LLC
• C.a.Ba Therapy LLC
• C&C Professional Therapy Group
• C&S Ambulances Services Inc.
• Pamela Caballero Maldonado
• Edesther Alejandra Caballero-Gippson
• Carmen Caballero, M.D.
• Fabiola Mari Caban Bravo

• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; 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.