Servicios de Salud Primarios de Aguas Buenas, CSP

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

SERVICIOS DE SALUD PRIMARIOS DE AGUAS BUENAS, CSP

Practice address

Luis M. Rivera #105
Aguas Buenas, PR 00703-1490

Phone

(787) 732-0755

Fax

(787) 732-2205

NPI assigned

Jul 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Alfredo Gonzalez Gomez, MDNPI 1104856103

Title

Socio Administrador

Phone

(787) 732-0755

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Alfredo Gonzalez Gomez, MD

  • General Practice Physician
  • Aguas Buenas, PR
  • NPI 1104856103
  NPD (past) Authorized official

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1992725402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1490",
            "city": "AGUAS BUENAS",
            "state": "PR",
            "postal_code": "007031490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LUIS M. RIVERA #105",
            "city": "AGUAS BUENAS",
            "state": "PR",
            "postal_code": "007031490",
            "telephone_number": "787-732-0755",
            "fax_number": "787-732-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICIOS DE SALUD PRIMARIOS DE AGUAS BUENAS, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ GOMEZ",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_title_or_position": "SOCIO ADMINISTRADOR",
        "authorized_official_telephone_number": "787-732-0755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RT Medical Services LLC
• Judith Santana, RN
• Enna D Santiago, P.T.
• Emily Janet Santos I, B.A.
• Maria I Serrano, RN
• SGMJ Medical Care LLC
• Francisco Jose Sifre Cestero, O.D.
• Delmarie Solorzano Vazquez
• Moldavia O. Tavarez Gonzalez, MD
• Jose Alfredo Toro II, M.D.

• Health Maintenance Organization in Aguas Buenas, PR
• Providers in Aguas Buenas, PR by specialty
• Health Maintenance Organization in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.