Healthcare Provider Details

I. General information

NPI: 1346154374
Provider Name (Legal Business Name): CHAMPI PHYSICIAN SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CALLE MARIA MONAGAS
ANASCO PR
00610-2916
US

IV. Provider business mailing address

PO BOX 619
ANASCO PR
00610-0619
US

V. Phone/Fax

Practice location:
  • Phone: 787-229-1223
  • Fax: 787-229-1332
Mailing address:
  • Phone: 787-229-1223
  • Fax: 787-229-1332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207PE0005X
TaxonomyUndersea and Hyperbaric Medicine (Emergency Medicine) Physician
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. RICARDO L MACHADO-TORRES
Title or Position: MEMBER
Credential: MD
Phone: 787-229-1223