Pamg Selecto, Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

07-B-2318 Issued in PR

Legal business name

PAMG SELECTO, INC

Practice address

1266 Ave Hostos
Esq. Power
Ponce, PR 00717-0947

Phone

(787) 813-2325

Fax

(787) 841-3908

NPI assigned

Jan 4, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Luis M Irizarry, M.D.

Title

Administrator

Phone

(787) 813-2325

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1003110107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1266 AVE HOSTOS",
            "address_2": "ESQ. POWER",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170947",
            "telephone_number": "787-813-2325",
            "fax_number": "787-841-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1266 AVE HOSTOS",
            "address_2": "ESQ. POWER",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170947",
            "telephone_number": "787-813-2325",
            "fax_number": "787-841-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMG SELECTO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "IRIZARRY",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-813-2325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PR",
            "license": "07-B-2318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10733",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorilmar Palomares
• Ginnell Marie Palomo Colon, M.ED.
• Wilmarie Palomo Colon, PH.D
• Pamg Independent Practice Network Corp
• Pamg Independent Practice Network Corp.
• Juan Antonio Panelli Ramery, D.M.D
• Jose Enrique Panelli, MD
• Pedro Panelli
• Pedro Ferdinand Panelli, MD, MS, FACP
• Yomaira Alvarez Panelli, PTA

• Primary Care Clinic/Center in Ponce, PR
• Providers in Ponce, PR by specialty
• Primary Care Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.