Mediserv L.L.C.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

MEDISERV L.L.C.

Practice address

349 Calle Mendez Vigo
Suite 10
Dorado, PR 00646

Phone

(787) 383-7777

NPI assigned

Jan 30, 2017

Organization subpart

No

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

Authorized official

Name

Mediserv L.L.C.

Title

Administrator

Phone

(787) 278-1656

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1932646833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 CALLE MENDES VIGO",
            "address_2": "SUITE 10",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "787-383-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 CALLE MENDEZ VIGO",
            "address_2": "SUITE 10",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "787-383-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDISERV L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-30",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "L.L.C.",
        "authorized_official_first_name": "MEDISERV",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-278-1656"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MD Distributors
• Glorimar Medero
• Medina Gonzalez Dermatology LLC
• Andrea Cristina Medina Gonzalez, MD
• Jomar Alexis Medina Ortiz
• Laura C Mejia, MD
• Jerry Melecio, PHARM AUX
• Josue Melendez Almodovar, MSW
• Raul Melendez Ayala
• Ana I Melendez, MSW

• Health Service Clinic/Center in Dorado, PR
• Providers in Dorado, PR by specialty
• Health Service Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.