RLL Serv Med CSP

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

14539 Issued in PR

Legal business name

RLL SERV MED CSP

Practice address

47 Calle Jose I Quinton
Coamo, PR 00769-2410

Phone

(787) 347-5311

NPI assigned

Dec 27, 2016

Last updated

Dec 27, 2016By 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. Rodney Lopez Lopez, MDNPI 1578569216

Title

Owner

Phone

(787) 347-5311

Specialties & licenses 1

Addresses

Other identifiers 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.

• Rodney Lopez Lopez, MD

  • General Practice Physician
  • Aibonito, PR
  • NPI 1578569216
  NPD (past) Authorized official

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

{
    "created_epoch": "1482796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482796800000",
    "number": "1841735941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 686",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007690686",
            "telephone_number": "787-347-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 CALLE JOSE I QUINTON",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007692410",
            "telephone_number": "787-347-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RLL SERV MED CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-27",
        "last_updated": "2016-12-27",
        "status": "A",
        "authorized_official_last_name": "LOPEZ LOPEZ",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-347-5311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PR",
            "license": "14539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1578569216",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miguel A Rivera
• Rafael F Rivera, BSPH
• Teresa Rivera, RPH
• Vilma E Rivera
• Wanda I Rivera
• Sharelly Rodriguez Claussell, LCDA
• Luis Rodriguez Colon
• Keysha Marie Rodriguez Ramirez, PHARMD
• Alejandra Rodriguez Rodriguez, LND
• Maria D. Rodriguez Rosa, PSYD

• Primary Care Clinic/Center in Coamo, PR
• Providers in Coamo, PR by specialty
• Primary Care Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; 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.