Caparra Internal Medicine Service Group PSC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

13484 Issued in PR

Legal business name

CAPARRA INTERNAL MEDICINE SERVICE GROUP PSC

Practice address

390 Calle Gardenia
La Ponderosa
Rio Grande, PR 00745-2201

Phone

(787) 809-4025

Fax

(787) 809-3424

NPI assigned

Aug 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David Matta- Fontanet

Title

Supervisor

Phone

(787) 801-4025

Specialties & licenses 1

Addresses

Other names 1

• CAPARRA INTERNAL MEDICINE SERVICE GROUP PSC Former legal business name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 2

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

• Evelyn Matta Fontanet, M.D.

  • Internal Medicine Physician
  • Rio Grande, PR
  • NPI 1700822574
  Medicare reassignment NPD
• Jennifer Marie Ramos, MD

  • General Practice Physician
  • Yabucoa, PR
  • NPI 1740971191
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298592000000",
    "number": "1093727026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 CALLE GARDENIA",
            "address_2": "LA PONDEROSA",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007452201",
            "telephone_number": "787-809-4025",
            "fax_number": "787-809-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 CALLE GARDENIA",
            "address_2": "LA PONDEROSA",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007452201",
            "telephone_number": "787-809-4025",
            "fax_number": "787-809-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPARRA INTERNAL MEDICINE SERVICE GROUP PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2011-02-25",
        "status": "A",
        "authorized_official_last_name": "MATTA- FONTANET",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "787-801-4025",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "13484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAPARRA INTERNAL MEDICINE SERVICE GROUP PSC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Mayra E. Brea Perez, M.D.
• Marta Brito Hernandez
• Elismarie Calero, MS-SLP
• Annmarie Calzada Ortiz
• Caparra Cardiology and Electrophisiology Center PSC
• Caparra Sonography and Vascular Studio Center
• Jackeline Caraballo Rivera
• Caribe Physicians Plaza Corporation
• Marta Carlo, R.N.
• Carolas Home Care

• Internal Medicine Physician in Rio Grande, PR
• Providers in Rio Grande, 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 Feb 25, 2011; 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.