Primary Medical Group,C.S.P.

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PRIMARY MEDICAL GROUP,C.S.P.

Practice address

607 Calle Ferrocarril
Ponce, PR 00717-0000

Phone

(787) 259-7219

Fax

(787) 848-9772

NPI assigned

Feb 12, 2019

Last updated

Feb 12, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

CENTRO DE URGENCIAS PRIMARY MEDICAL GROUPAs reported in NPPES

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

Authorized official

Name

Dr. Iraida Del Rio Rodriguez, MDNPI 1235109687

Title

President

Phone

(787) 844-0331

Specialties & licenses 1

Addresses

Tax ID family

Primary Medical Groupcsp4 organizations share this tax ID, including this one

Part of

Primary Medical Groupcsp

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Primary Medical Group, C.S.P.

  • Clinic/Center
  • Ponce, PR
  • NPI 1104216050
  NPD tax ID
• Primary Medical Group,C.S.P.

  • Family Medicine Physician
  • Ponce, PR
  • NPI 1174593545
  NPD tax ID
• Servicios Medicos Geriatricos En El Hogar

  • Specialist
  • Ponce, PR
  • NPI 1306080155
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Iraida Del Rio Rodriguez, M.D.

  • Family Medicine Physician
  • Ponce, PR
  • NPI 1235109687
  Authorized official Same address or phone
• Ithakatzin Gomez Zayas, MSW

  • Clinical Social Worker
  • Santa Isabel, PR
  • NPI 1063168797
  NPD (past)

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1003372319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 336149",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007336149",
            "telephone_number": "787-844-0331",
            "fax_number": "787-840-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 CALLE FERROCARRIL",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170000",
            "telephone_number": "787-259-7219",
            "fax_number": "787-848-9772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43 Calle Libertad",
            "address_purpose": "LOCATION",
            "city": "Jayuya",
            "state": "PR",
            "postal_code": "006640000",
            "country_code": "US",
            "telephone_number": "787-987-7384",
            "fax_number": "787-588-7031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Calle Mendez Vigo",
            "address_purpose": "LOCATION",
            "city": "Ponce",
            "state": "PR",
            "postal_code": "007300000",
            "country_code": "US",
            "telephone_number": "787-848-3177",
            "fax_number": "787-812-8844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Calle Barbosa",
            "address_purpose": "LOCATION",
            "city": "Adjuntas",
            "state": "PR",
            "postal_code": "006010000",
            "country_code": "US",
            "telephone_number": "787-829-1111",
            "fax_number": "939-201-7009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRIMARY MEDICAL GROUP,C.S.P.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRO DE URGENCIAS PRIMARY MEDICAL GROUP",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "DEL RIO RODRIGUEZ",
        "authorized_official_first_name": "IRAIDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-844-0331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primary Medical Center, Inc
• Primary Medical Center, Inc
• Primary Medical Group San Cristobal
• Primary Medical Group Santa Marta
• Primary Medical Group, C.S.P.
• Primary Medical Group,C.S.P.
• Priority Emergency Response Corp
• Priority Medical Management LLC
• Pro-Care Medical Equipment, Inc.
• Professional Ambulance

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.