Med Star Care, C.S.P.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

14057 Issued in PR

Legal business name

MED STAR CARE, C.S.P.

Practice address

Carr 492 KM 2.9
Bo Corcovada
Hatillo, PR 00659-0000

Phone

(787) 820-0542

NPI assigned

May 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ricardo Lopez Lopez, MD

Title

President

Phone

(787) 820-0542

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1770759474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARR 492 KM 2.9 BO CORCOVADA",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006590000",
            "telephone_number": "787-820-0542",
            "fax_number": "787-820-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 492 KM 2.9",
            "address_2": "BO CORCOVADA",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006590000",
            "telephone_number": "787-820-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED STAR CARE, C.S.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-02",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "LOPEZ LOPEZ",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-820-0542",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "PR",
            "license": "14057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moraima E Martinez, CPHT
• Virna L Martinez, RPH
• Master Optics Desing
• Carlos Enrique Matias, RPH
• Xiomara Ivellisse Matos, O.D.
• Medicina Familiar Johannie Gonzalez MD LLC
• Zuleika Medina - Dorta, O.T.
• Medina S Prventive and Primary Care, LLC
• Yanaisha Medina-Garcia, RN BSN
• Leynamer Medina

• Health Service Clinic/Center in Hatillo, PR
• Providers in Hatillo, PR by specialty
• Health Service Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.