Vida Plus Medical Clinic, CSP

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

VIDA PLUS MEDICAL CLINIC, CSP

Practice address

Ave. Fco. Corretjer Narvaez, Lote 21, Calle E,
Edf. Caribbean Cinemas, Suite 201
Guaynabo, PR 00970-3925

Phone

(787) 731-4949

NPI assigned

Jun 6, 2012

Last updated

Feb 3, 2015By 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

Dr. Joseph S. Campos, M.D.NPI 1851317119

Title

President

Phone

(787) 731-4949

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 2

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.

• Joseph Stephen Campos, MD

  • Internal Medicine Physician
  • Guaynabo, PR
  • NPI 1851317119
  Medicare reassignment Authorized official
• Melba Feliciano, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • San Juan, PR
  • NPI 1174635262
  NPD

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1831450717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE. FCO. CORRETJER NARVAEZ, LOTE 21, CALLE E,",
            "address_2": "EDF. CARIBBEAN CINEMAS, SUITE 201",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00970",
            "telephone_number": "787-731-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. FCO. CORRETJER NARVAEZ, LOTE 21, CALLE E,",
            "address_2": "EDF. CARIBBEAN CINEMAS, SUITE 201",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009703925",
            "telephone_number": "787-731-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA PLUS MEDICAL CLINIC, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "CAMPOS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-731-4949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "PR",
            "license": "13839",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "0021499",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vibras Nutritivas
• Juan R Vicente
• Ivan Vicenty Santiago, 0907P
• Victor M Aponte (VIP Medical Services)
• Vida Integra Desarollando Armonia (Vida), LLC
• Edwin Vidaillet Roldan, 1048P
• Francisco Antonio Viejo Rullan, M.D.
• Paola Krystal Viera-Medero, OTR/L
• Frank Vieras Alejandro, MD
• Zahira M Vieta Rios

• Specialist in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.