NPIMap

Organization Active NPI

CG Specialized Medical Services

  • Medical Specialty Clinic/Center
  • San Juan, PR
National Provider Identifier
1730342122
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
15786 Issued in PR
Legal business name
CG SPECIALIZED MEDICAL SERVICES
Practice address
126 Ave de Diego
Sein Medical Plaza Suite 2
San Juan, PR 00921-3036
Phone
(787) 630-0563
Fax
(787) 993-1993
NPI assigned
Jul 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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

Authorized official

Name
Dr. Cesar G Gomez, MDNPI 1508854852
Title
President
Phone
(787) 630-0563

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
Medical Specialty Clinic/Center 261QM2500X 15786 PR Primary

Addresses

Primary practice location

126 Ave de Diego
Sein Medical Plaza Suite 2
San Juan, PR 00921-3036

Mailing address

35 JC Borbon PMB 353
Ste 67
Guaynabo, PR 00969-5375
Phone (787) 630-0563

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090212000337 PR Part B Supplier - Clinic/Group Practice 5597820282 Receives reassigned benefits from 6 practitioners
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1215388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1730342122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 JC BORBON PMB 353",
            "address_2": "STE 67",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695375",
            "telephone_number": "787-630-0563",
            "fax_number": "787-993-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 AVE DE DIEGO",
            "address_2": "SEIN MEDICAL PLAZA SUITE 2",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213036",
            "telephone_number": "787-630-0563",
            "fax_number": "787-993-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CG SPECIALIZED MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-07",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "CESAR",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-630-0563",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PR",
            "license": "15786",
            "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 Feb 7, 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.