SERVICIOS MEDICOS DEL PLATA 4352


Address: 349 Mendez Vigo, Suite 10, Dorado, PR 00646-0687
Phone: 7877966568

SERVICIOS MEDICOS DEL PLATA 4352 (NPI# 1013317734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013317734
Entity Type Organization
Organization Name SERVICIOS MEDICOS DEL PLATA 4352
Practice Address 349 Mendez Vigo
Suite 10
Dorado
PR 00646-0687
Mailing Address Po Box 687
Dorado
PR 00646-0687
Practice Telephone 7877966568
Enumeration Date 2014-08-29
Last Update Date 2014-08-29
Authorized Official Name MRS. GLADYS NIEVES (ADMINISTRADORA)
Authorized Official Telephone 7877966568
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 302F00000X Exclusive Provider Organization PR Managed Care Organizations

Office Location

Street Address 349 MENDEZ VIGO
SUITE 10
City DORADO
State PR
Zip Code 00646-0687

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Taxonomy Information

Taxonomy Code 302F00000X
Grouping Managed Care Organizations
Classification Exclusive Provider Organization

Taxonomy Definition

(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

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Competitor

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City DORADO
Zip Code 00646

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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