Servicios Preventivos de Salud de Puerto Rico, Corp.

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

Legal business name

SERVICIOS PREVENTIVOS DE SALUD DE PUERTO RICO, CORP.

Practice address

3 Calle Jose Mendez Cardona
San Sebastian, PR 00685

Phone

(787) 896-1850

Fax

(787) 280-1698

NPI assigned

Aug 11, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Vivian Feliciano-Nieves

Title

Directora Ejecutiva

Phone

(787) 896-1850

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.

• Tamara L Garcia Roman, MD

  • General Practice Physician
  • San Sebastian, PR
  • NPI 1801369038
  NPD (past)

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1902272172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 486",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006850486",
            "telephone_number": "787-896-1850",
            "fax_number": "787-280-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CALLE JOSE MENDEZ CARDONA",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "00685",
            "telephone_number": "787-896-1850",
            "fax_number": "787-280-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICIOS PREVENTIVOS DE SALUD DE PUERTO RICO, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "FELICIANO-NIEVES",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "DIRECTORA EJECUTIVA",
        "authorized_official_telephone_number": "787-896-1850",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATE OF REGISTRATION",
            "identifier": "338074",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mineira Isabel Serrano Morales, PHD
• Jeannette Serrano, M.T.
• Servicios de Salud San Sebastian del Pepino
• Servicios Medicos Especializados del Pepino Inc
• Servicios Ortopedicos del Oeste,Inc
• Shapes PR LLC
• Shapes, Inc
• Mariluz Sosa
• Alexis Soto Hernandez, MD
• Kimberly M Soto Mieles

• Public Health & General Preventive Medicine Physician in San Sebastian, PR
• Providers in San Sebastian, PR by specialty
• Public Health & General Preventive Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.