Quantico Health Services, Corp.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

QUANTICO HEALTH SERVICES, CORP.

Practice address

6777 Marginal Biascochea
Isla Verde Mall Suite 218
Carolina, PR 00979-7603

Phone

(787) 331-1181

NPI assigned

Feb 5, 2018

Last updated

Feb 5, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Lizette Segarra

Title

Operations Manager

Phone

(787) 673-1142

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517788800000",
    "number": "1770082778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3042",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009703042",
            "telephone_number": "787-673-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6777 MARGINAL BIASCOCHEA",
            "address_2": "ISLA VERDE MALL SUITE 218",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009797603",
            "telephone_number": "787-331-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTICO HEALTH SERVICES, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-05",
        "last_updated": "2018-02-05",
        "status": "A",
        "authorized_official_last_name": "SEGARRA",
        "authorized_official_first_name": "LIZETTE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "787-673-1142",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Carolina, PR
• Providers in Carolina, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2018; 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.