North Primary Care Medical Group, Corp

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

NORTH PRIMARY CARE MEDICAL GROUP, CORP

Doing business as

NPC Medical Group

Practice address

Pmb236 100 Grand Paseos BLV 112
San Juan, PR 00926-8654

Phone

(787) 755-3902

Fax

(787) 755-3902

NPI assigned

Mar 29, 2012

Last updated

Jun 20, 2018By 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

Hector L. Pastor, LCDO.

Title

President

Phone

(787) 667-8654

Specialties & licenses 1

Addresses

Other names 1

• NPC Medical Group Doing business as

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1053687590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB236 100 GRAND PASEOS BLV 112",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009268654",
            "telephone_number": "787-755-3902",
            "fax_number": "787-755-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PMB236 100 GRAND PASEOS BLV 112",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009268654",
            "telephone_number": "787-755-3902",
            "fax_number": "787-755-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PRIMARY CARE MEDICAL GROUP, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "PASTOR",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-667-8654",
        "authorized_official_credential": "LCDO."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NPC Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Contractor in San Juan, PR
• Providers in San Juan, PR by specialty
• Contractor in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.