Organization Active NPI

Medlar Medical Services C S P

  • Internal Medicine Physician
  • San Juan, PR
National Provider Identifier
1679733679
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MEDLAR MEDICAL SERVICES C S P
Practice address
574 Calle Cabo H Alverio
La Merced
San Juan, PR 00918-3724
Phone
(787) 296-0618
NPI assigned
Jun 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Authorized official

Name
Luis Roman, MDNPI 1063452688
Title
President
Phone
(787) 296-0618

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

574 Calle Cabo H Alverio
La Merced
San Juan, PR 00918-3724

Mailing address

574 Cabo H Alverio
La Merced
San Juan, PR 00918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080812000550 PR Part B Supplier - Clinic/Group Practice 3173698008 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

574 Calle Cabo H Alverio
San Juan, PR 00918
Phone (787) 296-0617

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1679733679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "574 CABO H ALVERIO",
            "address_2": "LA MERCED",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "574 CALLE CABO H ALVERIO",
            "address_2": "LA MERCED",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183724",
            "telephone_number": "787-296-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLAR MEDICAL SERVICES C S P",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-296-0618",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.