Blessed Surgical Services PSC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

18672 Issued in PR

Legal business name

BLESSED SURGICAL SERVICES PSC

Practice address

Manati Medical Center Professional Plaza
Suite 611
Manati, PR 00674-5507

Phone

(787) 915-7878

Fax

(787) 315-7879

NPI assigned

May 15, 2014

Last updated

Jul 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christine Jimenez-Davila, MD

Title

Staff Physician

Phone

(787) 915-7878

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christine Jimenez, M.D.

  • Surgery Physician
  • Manati, PR
  • NPI 1336383579
  Medicare reassignment NPD

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406160000000",
    "number": "1821409699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1476",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006741476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MANATI MEDICAL CENTER PROFESSIONAL PLAZA",
            "address_2": "SUITE 611",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006745507",
            "telephone_number": "787-915-7878",
            "fax_number": "787-315-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSED SURGICAL SERVICES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ-DAVILA",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "STAFF PHYSICIAN",
        "authorized_official_telephone_number": "787-915-7878",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "PR",
            "license": "18672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maritza Benitez, MD
• Raul Benitez, MD
• Felix Betancourt-Bojos, M.D.
• Beyond Care Doctor Group CSP
• Carlos Blanco, M.D.
• Luis A Bonilla, MD
• Alexander Borrero-Arvelo, MD
• Wilfredo Javier Borroto Bechara
• Linette Bosques Vargas, FAAP
• Yanelka Bouza Jimenez

• Surgery Physician in Manati, PR
• Providers in Manati, PR by specialty
• Surgery Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.