BRG Medical LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

14760 Issued in PR

Legal business name

BRG MEDICAL LLC

Practice address

400 Ave Domenech Ste 607
San Juan, PR 00918-3746

Phone

(787) 250-0084

Fax

(787) 946-1481

NPI assigned

Oct 20, 2015

Last updated

Oct 20, 2015By 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. Waldemar Charles Rios, MDNPI 1003884065

Title

President

Phone

(787) 249-4614

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 5

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.

• Carlos R Benitez Colon

  • Sports Medicine (Internal Medicine) Physician
  • Hato Rey, PR
  • NPI 1437195005
  Medicare reassignment Care Compare group NPD
• Benjamin Ricardo Guardiola, M.D.

  • Internal Medicine Physician
  • Bayamon, PR
  • NPI 1265593370
  Medicare reassignment Care Compare group NPD
• Waldemar Charles Rios, M.D.

  • Internal Medicine Physician
  • San Juan, PR
  • NPI 1003884065
  Medicare reassignment Authorized official
• Cesar F Hernandez-Arroyo, M.D.

  • Nephrology Physician
  • San Juan, PR
  • NPI 1528473733

  Internal Medicine

  NPD
• Alex R Gonzalez, P.T.

  • Physical Therapist
  • Vega Baja, PR
  • NPI 1043343007
  NPD (past)

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1033580840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 AVE DOMENECH STE 607",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183746",
            "telephone_number": "787-250-0084",
            "fax_number": "787-946-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AVE DOMENECH STE 607",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183746",
            "telephone_number": "787-250-0084",
            "fax_number": "787-946-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRG MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-20",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "RIOS",
        "authorized_official_first_name": "WALDEMAR",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-249-4614",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "14760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breast Care Center BBC PSC
• Benjamin Brekke
• Victor A Brens, MSW
• Jose Miguel Breton Arias, MD
• Greg Breznican
• Bridge Care Home Services Inc.
• Emily Alexandra Brignoni Prieto
• Brio Specialty, LLC
• Yudit Maytee Brito Pequera
• Lorena Noemi Brito Sanchez, MD

• Internal Medicine Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.