GCM Medical Group, PSC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

16033 Issued in PR

Legal business name

GCM MEDICAL GROUP, PSC

Practice address

1826 Ave Fernandez Juncos
San Juan, PR 00909-3004

Phone

(787) 726-8396

Fax

(787) 919-0640

NPI assigned

Mar 31, 2011

Last updated

Mar 31, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gregorio Antonio Cortes Maisonet, M.D.NPI 1639151616

Title

President

Phone

(787) 726-8396

Specialties & licenses 2

Addresses

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.

• Gregorio A. Cortes-Maisonet, MD

  • General Practice Physician
  • San Juan, PR
  • NPI 1639151616
  Authorized official Same address or phone

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1023307915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13867",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009083867",
            "telephone_number": "787-726-8396",
            "fax_number": "787-919-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1826 AVE FERNANDEZ JUNCOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009093004",
            "telephone_number": "787-726-8396",
            "fax_number": "787-919-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GCM MEDICAL GROUP, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-31",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "CORTES MAISONET",
        "authorized_official_first_name": "GREGORIO",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-726-8396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PR",
            "license": "16033",
            "primary": true
        },
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": "PR",
            "license": "16033",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in San Juan, PR
• Providers in San Juan, 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 Mar 31, 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.