Servicios Medicos Bethesda CSP

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

13308 Issued in PR

Legal business name

SERVICIOS MEDICOS BETHESDA CSP

Practice address

J16 Calle 2 Ste 108
Calle J Esquina Calle B Extension Villa Rica
Bayamon, PR 00959-5045

Phone

(787) 288-2255

Fax

(787) 288-2255

NPI assigned

Nov 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Luis Benjamin Gonzalez-Ingles, MDNPI 1962490219

Title

President

Phone

(787) 288-2255

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Luis Benjamin Gonzalez-Ingles, MD

  • Internal Medicine Physician
  • Bayamon, PR
  • NPI 1962490219
  Medicare reassignment NPD Authorized official
• Lorenny S Moreta Castillo

  • General Practice Physician
  • Bayamon, PR
  • NPI 1326757766
  NPD (past)

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1982885836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "J16 CALLE 2 STE 108",
            "address_2": "CALLE J ESQUINA CALLE B EXTENSION VILLA RICA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009595045",
            "telephone_number": "787-288-2255",
            "fax_number": "787-288-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "J16 CALLE 2 STE 108",
            "address_2": "CALLE J ESQUINA CALLE B EXTENSION VILLA RICA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009595045",
            "telephone_number": "787-288-2255",
            "fax_number": "787-288-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICIOS MEDICOS BETHESDA CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ-INGLES",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-288-2255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "13308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olga Iris Serrano, MD
• Servicios Ansilares Cesmi Corp.
• Servicios Comunitarios Santa Cruz
• Servicios de Salud la Morenita Inc
• Servicios Dentales del Centro, CSP
• Servicios Medicos Santa Juanita
• Servicios Medicos Urologia CSP
• Servicios Psicologicos Lcda Natalia Marquez Corp
• Servicios Pulmonares Profesionales
• Servicios SPL de Salud (Farmacia Gregoria Auffant)

• Internal Medicine Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.