Organization Active NPI

Complete Internal Medicine Services,PSC

  • Internal Medicine Physician
  • Caguas, PR
National Provider Identifier
1972659720
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
COMPLETE INTERNAL MEDICINE SERVICES,PSC
Practice address
130A Primer Piso Hospital Hima San Pablo
Ave Munoz Marin
Caguas, PR 00725
Phone
(787) 744-1863
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Hector Martinez, MD
Title
Presidente
Phone
(787) 744-1863

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

130A Primer Piso Hospital Hima San Pablo
Ave Munoz Marin
Caguas, PR 00725

Mailing address

PMB 471 Suite 140
200 Ave Rafael Cordero
Caguas, PR 00725-3757
Phone (787) 744-1863

Other identifiers 1

IdentifierTypeStateIssuer
2407OtherPRPREFERRED MEDICARE CHOICE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972659720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 471 SUITE 140",
            "address_2": "200 AVE RAFAEL CORDERO",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253757",
            "telephone_number": "787-744-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130A PRIMER PISO HOSPITAL HIMA SAN PABLO",
            "address_2": "AVE MUNOZ MARIN",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-744-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE INTERNAL MEDICINE SERVICES,PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-744-1863",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED MEDICARE CHOICE",
            "identifier": "2407",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.