Organization Active NPI

Im Precision Medical Group PSC

  • Internal Medicine Physician
  • Humacao, PR
National Provider Identifier
1083057442
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18352 Issued in PR
Legal business name
IM PRECISION MEDICAL GROUP PSC
Practice address
13 Calle Flor Gerena N
Humacao, PR 00791-4288
Phone
(787) 518-0104
Fax
(939) 307-8272
NPI assigned
Apr 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Authorized official

Name
Dr. Rebeca Juarbe Arrillaga, MD
Title
President
Phone
(787) 247-4463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 18352 PR Primary

Addresses

Primary practice location

13 Calle Flor Gerena N
Humacao, PR 00791-4288

Mailing address

PO Box 13756
San Juan, PR 00908-3756

National Provider Directory

National Provider Directory

Locations

13 Calle Flor Gerena N
Humacao, PR 00791
Phone (787) 223-5167

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": "1366070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1083057442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13756",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009083756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 CALLE FLOR GERENA N",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007914288",
            "telephone_number": "787-518-0104",
            "fax_number": "939-307-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IM PRECISION MEDICAL GROUP PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-16",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "JUARBE ARRILLAGA",
        "authorized_official_first_name": "REBECA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-247-4463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "18352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.