NPIMap

Organization Active NPI

Sur-Med Medical Corp.

  • Clinical Medical Laboratory
  • Salinas, PR
National Provider Identifier
1972594836
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
743 Issued in PR
Legal business name
SUR-MED MEDICAL CORP.
Practice address
8 Calle Colon Pacheco
Salinas, PR 00751-3344
Phone
(787) 824-7097
Fax
(787) 824-7655
NPI assigned
Oct 31, 2005
Last updated
May 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2013

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

Authorized official

Name
Carlos J Rodriguez Mateo, MDNPI 1952384877
Title
President/Medical Director
Phone
(787) 204-3282

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 743 PR Primary

Addresses

Primary practice location

8 Calle Colon Pacheco
Salinas, PR 00751-3344

Mailing address

8 Calle Colon Pacheco
PO Box 1162
Salinas, PR 00751-3344
Phone (787) 824-7097

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050324000804 PR Part B Supplier - Independent Clinical Laboratory 4284611542 Receives reassigned benefits from 1 practitioner
Practice locations: Salinas, PR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Sur-Med Medical Corp4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1972594836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CALLE COLON PACHECO",
            "address_2": "PO BOX 1162",
            "city": "SALINAS",
            "state": "PR",
            "postal_code": "007513344",
            "telephone_number": "787-824-7097",
            "fax_number": "787-824-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CALLE COLON PACHECO",
            "city": "SALINAS",
            "state": "PR",
            "postal_code": "007513344",
            "telephone_number": "787-824-7097",
            "fax_number": "787-824-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUR-MED MEDICAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ MATEO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "787-204-3282",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; 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.