A Plus Primary Care LLC
Organization Active NPI Internal Medicine Physician · Ponce, PR
NPI 1023715596 · NPPES record last updated Feb 14, 2023
Key facts
- NPI
- 1023715596
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- A PLUS PRIMARY CARE LLC
- Practice address
- 1684 Calle Marquesa
Ponce, PR 00716-0504 - Phone
- (787) 240-3548
- NPI assigned
- Feb 14, 2023
- Organization subpart
- Yes
- Parent organization (as reported)
- DR. FERMIN LOPEZ
Authorized official
- Name
- Emily Pagan, ADMINISTRATIVE
- Title
- Administrative
- Phone
- (787) 240-3548
Practitioners 4
-
Fermin Antonio Lopez, M.D.
-
Nikita L Rabelo-Pagan, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230830004410 | PR | Part B Supplier - Clinic/Group Practice | 7719340280 |
Receives reassigned benefits from 3 practitioners Practice locations: Humacao, PR |
National Provider Directory
- Part of
- A Plus Primary Care LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
1684 Calle Marquesa
Ponce, PR 00716-0504
Mailing address
1684 Calle Marquesa
Ponce, PR 00716-0504
Phone (787) 240-3548
Other providers in Ponce, PR
- 60 Plus Services
- A.Collazo MD, CSP
- A&R Behavioral Associates PSC
- Abc Unlimited Pharmacy Services, Corp
- Bianca Anais Abreu-Carlo
- Alberto Abreu
All providers in Ponce, PR · Internal Medicine Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.