NPIMap

Organization Active NPI

Servicios de Salud del Norte

Doing business as GRP CDT Villa Los Santos

  • General Practice Physician
  • Arecibo, PR
National Provider Identifier
1912036286
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SERVICIOS DE SALUD DEL NORTE
Doing business as
GRP CDT Villa Los Santos
Practice address
Calle 16 V-1
Urbanzacion Villa Los Santos
Arecibo, PR 00612
Phone
(787) 879-1585
Fax
(787) 816-7284
NPI assigned
Mar 5, 2007
Organization subpart
Yes
Parent organization
SERVICIOS DE SALUD DEL NORTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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

Authorized official

Name
Mrs. Maria J. Gonzalez
Title
Administrator
Phone
(787) 817-3144

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X PR Primary

Addresses

Primary practice location

Calle 16 V-1
Urbanzacion Villa Los Santos
Arecibo, PR 00612

Mailing address

PO Box 9091
Cotto Station
Arecibo, PR 00613
Phone (787) 817-3144

Other names 1

  • GRP CDT VILLA LOS SANTOS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050303000173 PR Part B Supplier - Clinic/Group Practice 1951354844 Receives reassigned benefits from 14 practitioners
Practice locations: Arecibo, PR

National Provider Directory

National Provider Directory
Tax ID family
GRP CDT Villa Los Santos9 organizations share this tax ID, including this one
Part of
GRP CDT Villa Los Santos

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1912036286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9091",
            "address_2": "COTTO STATION",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00613",
            "telephone_number": "787-817-3144",
            "fax_number": "787-817-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 16 V-1",
            "address_2": "URBANZACION VILLA LOS SANTOS",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-879-1585",
            "fax_number": "787-816-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICIOS DE SALUD DEL NORTE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SERVICIOS DE SALUD DEL NORT",
        "enumeration_date": "2007-03-05",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-817-3144",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRP CDT VILLA LOS SANTOS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.