PROFESSIONAL SERVICES CORPORATION
NPI 1407931272
Internal Medicine - Cardiovascular Disease in San Juan, PUERTO RICO

Q: What is Cck Medical Csp's NPI number?

The NPI number for Cck Medical Csp is 1407931272. It was assigned to this organization in the NPPES registry on October 27, 2006. The provider is also known as Professional Services Corporation.

Q: What is Cck Medical Csp's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Cck Medical Csp was last updated on December 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 27, 2006

D3 FRONTERA AVE VILLA ANDALUCIA, SAN JUAN, PUERTO RICO 00926(787) 761-1555 Get Directions Write a Review

NPPES record last updated: December 6, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Professional Services Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROFESSIONAL SERVICES CORPORATION (NPI 1407931272) is a healthcare organization registered as a cardiovascular disease in San Juan, PUERTO RICO and active in the NPI registry since October 2006. The organization lists Eddy A Mieses, President, as its authorized official.

NPPES Registry Identity

NPI1407931272

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NameCCK MEDICAL CSP

Location AddressD3 FRONTERA AVE VILLA ANDALUCIASan Juan, PUERTO RICO 00926

Mailing AddressPo Box 270011San Juan, PR 00927-0011 · (787) 761-1555 · Fax (787) 292-7260

Phone(787) 761-1555

Organization SubpartNo

Authorized OfficialEddy A MiesesPresident · (787) 761-1555

Enumeration DateOctober 27, 2006

Last NPPES UpdateDecember 6, 2012

✔ NPI 1407931272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in PR · 11735

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

D3 FRONTERA AVE VILLA ANDALUCIA, San Juan, PUERTO RICO 00926

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Other Names 1

Other NameProfessional Services Corporation

Other Identifiers 2

Medicare UPING41150

Medicare ID-Type Unspecified88033PR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Professional Services Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Professional Services Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Eddy Mieses Ariza, MD

Cardiovascular Disease (Cardiology)

NPI 1235124587

D3 FRONTERA AVE VILLA ANDALUCIA
Rios Piedras, PR 00926

(787) 761-1555

✔ PECOS✔ Accepts Medicare

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cck Medical Csp's NPI number?

The NPI number for Cck Medical Csp is 1407931272. It was assigned to this organization in the NPPES registry on October 27, 2006. The provider is also known as Professional Services Corporation.

Where is Cck Medical Csp located?

Cck Medical Csp is located at D3 Frontera Ave Villa Andalucia, San Juan, PUERTO RICO 00926. The listed phone number is (787) 761-1555.

What is Cck Medical Csp's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Cck Medical Csp enrolled in Medicare?

Yes. Cck Medical Csp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cck Medical Csp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns their Medicare billing to Cck Medical Csp. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Cck Medical Csp was last updated on December 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.