Medical Specialty Clinic LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MEDICAL SPECIALTY CLINIC LLC

Practice address

1012 Ave Peter Agapito Ortiz
Levittown
Toa Baja, PR 00949

Phone

(787) 948-3269

NPI assigned

Nov 3, 2020

Last updated

Nov 3, 2020By 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. Jerry Charneco Tifal, MD

Title

President

Phone

(787) 948-3269

Specialties & licenses 1

Addresses

Other names 1

• MEDICAL SPECIALTY CLINIC Former legal business name

Electronic endpoints 1

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1851992242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 AVE PETER AGAPITO ORTIZ",
            "address_2": "LEVITTOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-948-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 AVE PETER AGAPITO ORTIZ",
            "address_2": "LEVITTOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-948-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SPECIALTY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-10-31",
        "status": "A",
        "authorized_official_last_name": "CHARNECO TIFAL",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-948-3269",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "msclinic518@gmail.com",
            "affiliation": "N",
            "endpointDescription": "msclinic518@gmail.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1012 AVE PETER AGAPITO ORTIZ",
            "address_2": "LEVITTOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MEDICAL SPECIALTY CLINIC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Alfredo Ramon Mayorca, MD
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• Juan Carlos Maysonet, D.D.S
• Med Call Corp.
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• Medicos Visitantes CSP
• Yanira Medina Claudio, MD
• Juan Carlos Medina Colon
• Giovanna Medina, RN

• Specialist in Toa Baja, PR
• Providers in Toa Baja, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.