Active NPI
Advanced Medical Clinic Inc
- Primary Care Clinic/Center
- Caguas, PR
National Provider Identifier
1013104462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 15449
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Orlando E Rivera Usera, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- General Practice Physician
- Caguas, PR
- NPI 1275592388
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
- Advanced Heart Failure of PR LLC
- Advanced Hematology and Oncology Group of PR
- Advanced Hematology and Oncology of Puerto Rico
- Advanced Imaging and Vascular Center
- Advanced Interventional Cardiology of PR LLC
- Advanced Neurology Center of PR
- Advanced Orthopedics Sipply
- Advanced Prosthetics Center Inc
- Agd Endocrinology LLC
- Abby J. Agosto-Ventura, MD
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.