NPIMap

Organization Active NPI

La Plata Medical Group

  • Health Maintenance Organization
  • Toa Alta, PR
National Provider Identifier
1114186814
Registry record updated Jun 6, 2008
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Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
5589 Issued in PR
Legal business name
LA PLATA MEDICAL GROUP
Practice address
A4 Calle Villa Maria
C/Leopoldo Diaz #1
Toa Alta, PR 00953-2301
Phone
(787) 870-1272
NPI assigned
Jun 6, 2008
Organization subpart
Yes
Parent organization
LA PLATA MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Authorized official

Name
Dr. Victor M Burgos, M.D.
Title
President
Phone
(787) 870-1272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 5589 PR Primary

Addresses

Primary practice location

A4 Calle Villa Maria
C/Leopoldo Diaz #1
Toa Alta, PR 00953-2301

Mailing address

PO Box 716
Dorado, PR 00646-0716
Phone (787) 870-1272

Other identifiers 4

IdentifierTypeStateIssuer
9600020OtherPRJORGE L SANCHEZ TORRES
9120018OtherPROTTO RIOS DONES
7190010OtherPRJUAN C ECHEANDIA
7580034OtherPRVICTOR M BURGOS RIVERA

Other names 1

  • LA PLATA MEDICAL GROUP Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
La Plata Medical Group2 organizations share this tax ID, including this one
Part of
La Plata Medical Group

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

A4 Calle Villa Maria
#1
Toa Alta, PR 00953
Phone (787) 870-1272

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1114186814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 716",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006460716",
            "telephone_number": "787-870-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A4 CALLE VILLA MARIA",
            "address_2": "C/LEOPOLDO DIAZ #1",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009532301",
            "telephone_number": "787-870-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA PLATA MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LA PLATA MEDICAL GROUP",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "BURGOS",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-870-1272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "PR",
            "license": "5589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JORGE L SANCHEZ TORRES",
            "identifier": "9600020",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTTO RIOS DONES",
            "identifier": "9120018",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JUAN C ECHEANDIA",
            "identifier": "7190010",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VICTOR M BURGOS RIVERA",
            "identifier": "7580034",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LA PLATA MEDICAL GROUP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Toa Alta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.