Primary Medical Health Group, Corp.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PRIMARY MEDICAL HEALTH GROUP, CORP.

Practice address

76 Calle Colon
Aguada, PR 00602-3114

Phone

(787) 252-2165

Fax

(787) 868-7258

NPI assigned

Mar 14, 2008

Last updated

Apr 18, 2013By 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. Carlos A Muniz, MD

Title

Director

Phone

(787) 252-2165

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1114198413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 CALLE COLON",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006023114",
            "telephone_number": "787-252-2165",
            "fax_number": "787-868-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 CALLE COLON",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006023114",
            "telephone_number": "787-252-2165",
            "fax_number": "787-868-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY MEDICAL HEALTH GROUP, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "MUNIZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-252-2165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.