Active NPI
Consultorio de Medicina Interna CSP
- Internal Medicine Physician
- San Sebastian, PR
National Provider Identifier
1811970742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 10451
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carlos R Ramos, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81462 | Other | PR | MEDICARE ID |
| SSS81462 | Other | PR | TRIPLE SSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Consultorio de Medicina Interna CSP
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Medical Specialty Clinic/Center
- San Sebastian, PR
- NPI 1811305204
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- San Sebastian, PR
- NPI 1023231131
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.