Yamcely Medical Services CSP

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

4307-711 Issued in PR

Legal business name

YAMCELY MEDICAL SERVICES CSP

Practice address

Bo Coco Nuevo 360
Calle Santiago Iglesias
Salinas, PR 00751-2550

Phone

(787) 824-0050

Fax

(787) 824-0050

NPI assigned

May 15, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Yamil Mateo - Moreno, MD

Title

President

Phone

(787) 824-0050

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Yamcely Medical Services CSP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Yamcely Medical Services CSP

  • Primary Care Clinic/Center
  • Salinas, PR
  • NPI 1730509209
  NPD tax ID

Practitioners 1

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

• Yamil Mateo, MD

  • General Practice Physician
  • Salinas, PR
  • NPI 1063555498
  NPD (past)

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1811256589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 134",
            "city": "SALINAS",
            "state": "PR",
            "postal_code": "007510134",
            "telephone_number": "787-824-0050",
            "fax_number": "787-824-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO COCO NUEVO 360",
            "address_2": "CALLE SANTIAGO IGLESIAS",
            "city": "SALINAS",
            "state": "PR",
            "postal_code": "007512550",
            "telephone_number": "787-824-0050",
            "fax_number": "787-824-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAMCELY MEDICAL SERVICES CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-15",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "MATEO - MORENO",
        "authorized_official_first_name": "YAMIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-824-0050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": "4307-711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DEPARTMENT",
            "identifier": "4307-711",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luz Delia Virola de Abreu
• Manuel Vizcarrondo, M.D.
• Walgreen Co
• Wilfredo Collazo Fernandez
• Yamcely Medical Services CSP
• Zona Visual LLC

• Clinic/Center in Salinas, PR
• Providers in Salinas, PR by specialty
• Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.