Active NPI
Servicios Medicos de Anasco
- Custodial Care Facility
- Anasco, PR
National Provider Identifier
1780010561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Custodial Care Facility
- License
- 14378
- Legal business name
- SERVICIOS MEDICOS DE ANASCO
- Practice address
- Street Ibanez 14
Anasco, PR 00610 - Phone
- (787) 826-8082
- NPI assigned
- Sep 24, 2013
- 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
- Jacqueline Mendez
- Title
- Administrator
- Phone
- (787) 826-8082
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Custodial Care Facility | 311Z00000X | 14378 | PR | Primary |
Addresses
Primary practice location
Street Ibanez 14
Anasco, PR 00610
Mailing address
14 Calle San Antonio
Anasco, PR 00610
Phone (787) 826-8082
National Provider Directory
National Provider DirectoryLocations
14 Calle San Antonio
Anasco, PR 00610
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Anasco, PR
- NPI 1235183088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1379980800000",
"number": "1780010561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 CALLE SAN ANTONIO",
"city": "ANASCO",
"state": "PR",
"postal_code": "00610",
"telephone_number": "787-826-8082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "STREET IBANEZ 14",
"city": "ANASCO",
"state": "PR",
"postal_code": "00610",
"telephone_number": "787-826-8082"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERVICIOS MEDICOS DE ANASCO",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-24",
"last_updated": "2013-09-24",
"status": "A",
"authorized_official_last_name": "MENDEZ",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "787-826-8082"
},
"taxonomies": [
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": "PR",
"license": "14378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anasco, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.