Organization Active NPI

MRP Medical Services

  • Preferred Provider Organization
  • Bayamon, PR
National Provider Identifier
1720527831
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
12314 Issued in PR
Legal business name
MRP MEDICAL SERVICES
Practice address
64 Calle Santa Cruz
Suite 207
Bayamon, PR 00961-7003
Phone
(787) 779-6243
NPI assigned
Feb 22, 2017
Last updated
Feb 22, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Authorized official

Name
Dr. Mary Perez Hernandez, M.D.
Title
Doctor
Phone
(787) 779-6243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 12314 PR Primary

Addresses

Primary practice location

64 Calle Santa Cruz
Suite 207
Bayamon, PR 00961-7003

Mailing address

PO Box 70344
San Juan, PR 00936-8344
Phone (787) 779-6243

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190415000506 PR Part B Supplier - Clinic/Group Practice 7810238169 Receives reassigned benefits from 1 practitioner
Practice locations: Bayamon, PR

National Provider Directory

National Provider Directory

Locations

64 Calle Santa Cruz
Ste 207
Bayamon, PR 00961
Phone (787) 779-6243

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1720527831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70344",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009368344",
            "telephone_number": "787-779-6243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 CALLE SANTA CRUZ",
            "address_2": "SUITE 207",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617003",
            "telephone_number": "787-779-6243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRP MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "PEREZ HERNANDEZ",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "787-779-6243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "PR",
            "license": "12314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.