Organization Active NPI

Solidarity Mso LLC

  • General Practice Physician
  • Mayaguez, PR
National Provider Identifier
1962946723
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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

Updated by the provider on Nov 9, 2022

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)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 Primary
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20210210003315 PR Part B Supplier - Clinic/Group Practice 1759796402 Receives reassigned benefits from 2 practitioners
Practice locations: Lajas, PR; Mayaguez, PR

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.