Organization Active NPI

Advanced Medical Clinic Inc

  • Primary Care Clinic/Center
  • Caguas, PR
National Provider Identifier
1013104462
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
15449 Issued in PR
Legal business name
ADVANCED MEDICAL CLINIC INC
Practice address
Suite 7 Centro Comercial Valle Tolima
285 Ave Regimiento de Infanteria
Caguas, PR 00725
Phone
(787) 747-6300
Fax
(787) 961-5501
NPI assigned
Oct 1, 2007
Last updated
Feb 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2015

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

Authorized official

Name
Dr. Orlando E Rivera Usera, MDNPI 1275592388
Title
Presidente
Phone
(787) 747-6300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 15449 PR Primary

Addresses

Primary practice location

Suite 7 Centro Comercial Valle Tolima
285 Ave Regimiento de Infanteria
Caguas, PR 00725

Mailing address

Hacienda San Jose
1001 Calle Almacigos
Caguas, PR 00727-3120
Phone (787) 747-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100629000355 PR Part B Supplier - Clinic/Group Practice 1951432335 Receives reassigned benefits from 1 practitioner
Practice locations: Caguas, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1013104462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HACIENDA SAN JOSE",
            "address_2": "1001 CALLE ALMACIGOS",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007273120",
            "telephone_number": "787-747-6300",
            "fax_number": "787-961-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUITE 7 CENTRO COMERCIAL VALLE TOLIMA",
            "address_2": "285 AVE REGIMIENTO DE INFANTERIA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-747-6300",
            "fax_number": "787-961-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "RIVERA USERA",
        "authorized_official_first_name": "ORLANDO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-747-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PR",
            "license": "15449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.