Juncos Aguas Buenas Caguas Medical Services

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

8611 Issued in PR

Legal business name

JUNCOS AGUAS BUENAS CAGUAS MEDICAL SERVICES

Practice address

Rafael Cordero , Troche Corner 2
Antiguo CDT
Caguas, PR 00725

Phone

(787) 745-1077

Fax

(787) 703-2725

NPI assigned

Dec 29, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Milagros Moreno, M.D.

Title

President

Phone

(787) 745-1077

Specialties & licenses 1

Addresses

Other names 1

• jac medical services Other name

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293580800000",
    "number": "1669776035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 722",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007260722",
            "telephone_number": "787-745-1077",
            "fax_number": "787-703-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RAFAEL CORDERO , TROCHE CORNER 2",
            "address_2": "ANTIGUO CDT",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-745-1077",
            "fax_number": "787-703-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNCOS AGUAS BUENAS CAGUAS MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-29",
        "last_updated": "2010-12-29",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "MILAGROS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-745-1077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "8611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "jac medical services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• General Practice Physician in Caguas, PR
• Providers in Caguas, 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 Dec 29, 2010; 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.