One Medical Group Corporation

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

ONE MEDICAL GROUP CORPORATION

Practice address

102 Calle Dr Veve
San German, PR 00683-4132

Phone

(787) 892-8092

Fax

(888) 777-9122

NPI assigned

Sep 7, 2016

Last updated

Sep 7, 2016By 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. Luis J. Deliz

Title

Presidente

Phone

(787) 892-8092

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1063969186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 CALLE DR VEVE",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006834132",
            "telephone_number": "787-892-8092",
            "fax_number": "888-777-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 CALLE DR VEVE",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006834132",
            "telephone_number": "787-892-8092",
            "fax_number": "888-777-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE MEDICAL GROUP CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "DELIZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-892-8092",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in San German, PR
• Providers in San German, PR by specialty
• Preferred Provider Organization in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.