EASTERN SURGICAL GROUP PSC
NPI 1477841864
Specialist in Fajardo, PR

Active since July 19, 2011
AVE GENERAL VALERO # 410, TORRE MEDICA 403, FAJARDO, PR 00738(787) 655-4006(787) 801-0721 Get Directions Write a Review

NPPES record last updated: September 1, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Eastern Surgical Group Psc NPPES

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

EASTERN SURGICAL GROUP PSC (NPI 1477841864) is a healthcare organization registered as a specialist in Fajardo, Puerto Rico and active in the NPI registry since July 2011. The organization lists Miguel A De Jesus Ramos, President, as its authorized official.

NPPES Registry Identity

NPI1477841864
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameEASTERN SURGICAL GROUP PSC
Location AddressAVE GENERAL VALERO # 410, TORRE MEDICA 403Fajardo, PR 00738-3949
Mailing AddressAve General Valero # 410, Torre Medica 403Fajardo, PR 00738-3949 · (787) 655-4006 · Fax (787) 801-0721
Fax(787) 801-0721
Organization SubpartNo
Authorized OfficialMiguel A De Jesus RamosPresident · (787) 655-4006
Enumeration DateJuly 19, 2011
Last NPPES UpdateSeptember 1, 2011
✔ NPI 1477841864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses✔ Licensed in PR · 12253✔ Licensed in PR · 18210
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
AVE GENERAL VALERO # 410, Fajardo, PR 00738

Other Identifiers 1

Medicare UPIN0088599PR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE 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)

Eastern Surgical Group Psc 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 Eastern Surgical Group Psc, which bills Medicare for the services this clinician delivers.

Clinician (1)

General Surgery
NPI 1609957117
194 KM 2 HM 4 AVE. GENERAL VALERO 204
Fajardo, PR 00738
(787) 863-0505
✔ PECOS✔ Accepts Medicare0.2 mi

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 Eastern Surgical Group Psc's NPI number?

The NPI number for Eastern Surgical Group Psc is 1477841864. It was assigned to this organization in the NPPES registry on July 19, 2011.

Where is Eastern Surgical Group Psc located?

Eastern Surgical Group Psc is located at Ave General Valero # 410 Torre Medica 403, Fajardo, PR 00738. The listed phone number is (787) 655-4006.

What is Eastern Surgical Group Psc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Eastern Surgical Group Psc enrolled in Medicare?

Yes. Eastern Surgical Group Psc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eastern Surgical Group Psc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Eastern Surgical Group Psc. 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 Eastern Surgical Group Psc was last updated on September 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.