Organization Active NPI

Consultorio de Medicina Interna CSP

  • Internal Medicine Physician
  • San Sebastian, PR
National Provider Identifier
1811970742
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10451 Issued in PR
Legal business name
CONSULTORIO DE MEDICINA INTERNA CSP
Practice address
Carr 111 KM 22 H 8 Bo Piedras Blancas
San Sebastian, PR 00685
Phone
(787) 280-3398
Fax
(787) 896-0230
NPI assigned
Nov 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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

Authorized official

Name
Carlos R Ramos, MDNPI 1023231131
Title
MD
Phone
(787) 280-3398

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 10451 PR Primary

Addresses

Primary practice location

Carr 111 KM 22 H 8 Bo Piedras Blancas
San Sebastian, PR 00685

Mailing address

PO Box 1561
San Sebastian, PR 00685-1561
Phone (787) 280-3398

Other identifiers 2

IdentifierTypeStateIssuer
81462OtherPRMEDICARE ID
SSS81462OtherPRTRIPLE SSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080818000736 PR Part B Supplier - Clinic/Group Practice 5294800785 Receives reassigned benefits from 1 practitioner
Practice locations: San Sebastian, PR

National Provider Directory

National Provider Directory
Tax ID family
Consultorio de Medicina Interna 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.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1811970742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1561",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006851561",
            "telephone_number": "787-280-3398",
            "fax_number": "787-896-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 111 KM 22 H 8 BO PIEDRAS BLANCAS",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "00685",
            "telephone_number": "787-280-3398",
            "fax_number": "787-896-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSULTORIO DE MEDICINA INTERNA CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-23",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "787-280-3398",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "10451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "81462",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE SSS",
            "identifier": "SSS81462",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Sebastian, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.