Organization Active NPI

Img Services CSP

  • Internal Medicine Physician
  • Ponce, PR
National Provider Identifier
1861998056
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
16772 Issued in PR
Legal business name
IMG SERVICES CSP
Practice address
2864 Calle Hibiscus
Urb Villa Flores
Ponce, PR 00716-2914
Phone
(787) 841-2878
NPI assigned
Apr 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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

Authorized official

Name
Rafael J Espinet PerezNPI 1487845780
Title
MD
Phone
(787) 841-2878

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 16772 PR Primary

Addresses

Primary practice location

2864 Calle Hibiscus
Urb Villa Flores
Ponce, PR 00716-2914

Mailing address

2864 Calle Hibiscus
Urb Villa Flores
Ponce, PR 00716-2914
Phone (787) 841-2878

Other identifiers 1

IdentifierTypeStateIssuer
16772OtherPRLICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522886400000",
    "number": "1861998056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2864 CALLE HIBISCUS",
            "address_2": "URB VILLA FLORES",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162914",
            "telephone_number": "787-841-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2864 CALLE HIBISCUS",
            "address_2": "URB VILLA FLORES",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162914",
            "telephone_number": "787-841-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMG SERVICES CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-05",
        "last_updated": "2018-04-05",
        "status": "A",
        "authorized_official_last_name": "ESPINET PEREZ",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "787-841-2878"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "16772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "16772",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; 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.