Organization Active NPI

Centro de Medicina Avanzada de Rio Grande LLC

  • General Practice Physician
  • Rio Grande, PR
National Provider Identifier
1043897473
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CENTRO DE MEDICINA AVANZADA DE RIO GRANDE LLC
Practice address
Urb Villas de Rio Grande
C1 Ave Agustin Perez Andino
Rio Grande, PR 00745
Phone
(787) 888-7722
NPI assigned
Mar 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

Name
Francisco Leal, MDNPI 1609916691
Title
Doctor
Phone
(787) 409-6430

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

Urb Villas de Rio Grande
C1 Ave Agustin Perez Andino
Rio Grande, PR 00745

Mailing address

Urb Villas de Rio Grande
C1 Ave Agustin Perez Andino
Rio Grande, PR 00745
Phone (787) 888-7722

National Provider Directory

National Provider Directory

Locations

C1 Ave a Perez Andino
Rio Grande, PR 00745
Phone (787) 313-1607

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1043897473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB VILLAS DE RIO GRANDE",
            "address_2": "C1 AVE AGUSTIN PEREZ ANDINO",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "00745",
            "telephone_number": "787-888-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB VILLAS DE RIO GRANDE",
            "address_2": "C1 AVE AGUSTIN PEREZ ANDINO",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "00745",
            "telephone_number": "787-888-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE MEDICINA AVANZADA DE RIO GRANDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "LEAL",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "787-409-6430",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.