Active NPI
Solidarity Mso LLC
- General Practice Physician
- Mayaguez, PR
National Provider Identifier
1962946723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- SOLIDARITY MSO LLC
- Practice address
- 101 Calle Mendez Vigo W Ste 701
Mayaguez, PR 00680-3889 - Phone
- (787) 834-6056
- Fax
- (787) 833-1520
- NPI assigned
- Dec 14, 2016
- 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
- Orlando C Palmer
- Title
- President
- Phone
- (787) 834-6056
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | |||
| General Practice Physician | 208D00000X | Primary | ||
| Hospitalist Physician | 208M00000X | |||
| Health Maintenance Organization | 302R00000X |
Addresses
Primary practice location
101 Calle Mendez Vigo W Ste 701
Mayaguez, PR 00680-3889
Mailing address
101 Calle Mendez Vigo W Ste 701
Mayaguez, PR 00680-3889
Phone (787) 834-6056
Other practice location 1
23 Calle 65 De Infanteria N
Lajas, PR 00667-2081
Phone (787) 899-5140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
101 Calle Mendez Vigo W
Ste 805
Mayaguez, PR 00680
Phone (787) 834-6056
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Mayaguez, PR
- NPI 1790493807
-
- Internal Medicine Physician
- Mayaguez, PR
- NPI 1760515837
-
- Internal Medicine Physician
- Lajas, PR
- NPI 1164436895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481673600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667952000000",
"number": "1962946723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 CALLE MENDEZ VIGO W STE 701",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006803889",
"telephone_number": "787-834-6056",
"fax_number": "787-833-1520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 CALLE MENDEZ VIGO W STE 701",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006803889",
"telephone_number": "787-834-6056",
"fax_number": "787-833-1520"
}
],
"practiceLocations": [
{
"address_1": "23 Calle 65 De Infanteria N",
"address_purpose": "LOCATION",
"city": "Lajas",
"state": "PR",
"postal_code": "006672081",
"country_code": "US",
"telephone_number": "787-899-5140",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SOLIDARITY MSO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-14",
"last_updated": "2022-11-09",
"certification_date": "2022-11-09",
"status": "A",
"authorized_official_last_name": "PALMER",
"authorized_official_first_name": "ORLANDO",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-834-6056"
},
"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": true
},
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": false
},
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.