Active NPI
Servicios Medicos Profesionales 1,2,3
- Health Maintenance Organization
- Lajas, PR
National Provider Identifier
1891979027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- Legal business name
- SERVICIOS MEDICOS PROFESIONALES 1,2,3
- Practice address
- Carr. 116 K.M 2.0 Canitas II Bo. Yegua
Lajas, PR 00667 - Phone
- (787) 899-2865
- Fax
- (787) 808-0668
- NPI assigned
- Dec 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ruben Dario Rosario Castillo, M.D
- Title
- President
- Phone
- (787) 464-5065
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | Primary |
Addresses
Primary practice location
Carr. 116 K.M 2.0 Canitas II Bo. Yegua
Lajas, PR 00667
Mailing address
Carr. 116 K.M 2.0 Canitas II Bo. Yegua
Lajas, PR 00667
Phone (787) 899-2865
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 175239 | Other | PR | REGISTER CERTIFICATE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1198454400000",
"number": "1891979027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CARR. 116 K.M 2.0 CANITAS II BO. YEGUA",
"city": "LAJAS",
"state": "PR",
"postal_code": "00667",
"telephone_number": "787-899-2865",
"fax_number": "787-808-0668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. 116 K.M 2.0 CANITAS II BO. YEGUA",
"city": "LAJAS",
"state": "PR",
"postal_code": "00667",
"telephone_number": "787-899-2865",
"fax_number": "787-808-0668"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERVICIOS MEDICOS PROFESIONALES 1,2,3",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-24",
"last_updated": "2007-12-24",
"status": "A",
"authorized_official_last_name": "ROSARIO CASTILLO",
"authorized_official_first_name": "RUBEN",
"authorized_official_middle_name": "DARIO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-464-5065",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTER CERTIFICATE",
"identifier": "175239",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lajas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.