Active NPI
Atlantic Emergency Group PSC
- Multi-Specialty Clinic/Center
- Hatillo, PR
National Provider Identifier
1104935154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- ATLANTIC EMERGENCY GROUP PSC
- Practice address
- Carr 129 KM 15.1 Bo Bayaney
Hatillo, PR 00659 - Phone
- (787) 898-7990
- Fax
- (787) 898-7990
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Samuel Rivera, MD
- Title
- Owner
- Phone
- (787) 898-7990
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
Carr 129 KM 15.1 Bo Bayaney
Hatillo, PR 00659
Mailing address
PO Box 9975
Arecibo, PR 00613
Phone (787) 898-7990
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104935154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9975",
"city": "ARECIBO",
"state": "PR",
"postal_code": "00613",
"telephone_number": "787-898-7990",
"fax_number": "787-898-7990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 129 KM 15.1 BO BAYANEY",
"city": "HATILLO",
"state": "PR",
"postal_code": "00659",
"telephone_number": "787-898-7990",
"fax_number": "787-898-7990"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLANTIC EMERGENCY GROUP PSC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RIVERA",
"authorized_official_first_name": "SAMUEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "787-898-7990",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hatillo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.