Prime Urology Puerto Rico LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

PRIME UROLOGY PUERTO RICO LLC

Practice address

12 Carr 172
Caguas, PR 00727-7077

Phone

(787) 653-0550

NPI assigned

Jul 25, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Jerry M Echevarria, MD

Title

President

Phone

(787) 222-2402

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jerry Michail Echevarria Mendez, M.D.

  • Urology Physician
  • San Juan, PR
  • NPI 1093165219
  Medicare reassignment NPD

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1023846532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 192414",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009192414",
            "telephone_number": "787-222-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CARR 172",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007277077",
            "telephone_number": "787-653-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME UROLOGY PUERTO RICO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "ECHEVARRIA",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-222-2402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preventive Family Medicine PSC
• Alexandra Liz Prieto Estrada, PHARMD
• Primary Internal Med LLC
• Primary Phisician Emergency Group
• Prime Medical Supply Inc
• Primed LLC
• Pro Health Management Care LLC
• Pro Vision Optical LLC
• Pro-Care Ambulance Services Inc.
• Jesselyn M Proenza, SLP

• Urology Physician in Caguas, PR
• Providers in Caguas, PR by specialty
• Urology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.