Mspo Services LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

MSPO SERVICES LLC

Practice address

70 Calle Santa Cruz
Bayamon, PR 00961-7052

Phone

(787) 740-4747

NPI assigned

Apr 8, 2024

Organization subpart

No

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

Authorized official

Name

Michelle I Surillo Gonzalez, MDNPI 1538613468

Title

Presidente

Phone

(787) 448-8845

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Ileana Surillo-Gonzalez, M.D.

  • Emergency Medicine Physician
  • San Juan, PR
  • NPI 1538613468

  Emergency Medicine

  NPD Authorized official

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1801649132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 331948",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007331948",
            "telephone_number": "787-448-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 CALLE SANTA CRUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617052",
            "telephone_number": "787-740-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSPO SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "SURILLO GONZALEZ",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-448-8845",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Vigdelia Moron
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• Stephanie Mulero Pagan
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• Multidisciplinary Psychological Services, P.S.C.

• All providers in Bayamon, PR
• Emergency Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.