Active NPI
Medlar Medical Services C S P
- Internal Medicine Physician
- San Juan, PR
National Provider Identifier
1679733679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Luis Roman, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- San Juan, PR
- NPI 1063452688
-
- General Practice Physician
- Rio Piedras, PR
- NPI 1003955501
-
- Internal Medicine Physician
- San Juan, PR
- NPI 1902912082
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.