Imperial Medical Services, C. S. P.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

009228 Issued in PR

Legal business name

IMPERIAL MEDICAL SERVICES, C. S. P.

Doing business as

Isla Verde Medical Services

Practice address

Isla Verde Mall Suite 208
6777 Ave. Isla Verde
Carolina, PR 00979-0000

Phone

(787) 791-8175

Fax

(787) 791-8179

NPI assigned

Jun 25, 2013

Last updated

Jul 14, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Miguel Seda, M.D.

Title

Medical Director

Phone

(787) 791-8175

Specialties & licenses 1

Addresses

Other names 1

• Isla Verde Medical Services Doing business as

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405296000000",
    "number": "1952741886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 486",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009600486",
            "telephone_number": "787-791-8175",
            "fax_number": "787-791-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ISLA VERDE MALL SUITE 208",
            "address_2": "6777 AVE. ISLA VERDE",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009790000",
            "telephone_number": "787-791-8175",
            "fax_number": "787-791-8179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL MEDICAL SERVICES, C. S. P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-25",
        "last_updated": "2014-07-14",
        "status": "A",
        "authorized_official_last_name": "SEDA",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "787-791-8175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "009228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Isla Verde Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Physician in Carolina, PR
• Providers in Carolina, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.