NPIMap

Organization Active NPI

San Jose Primary Medicine Inc

  • Primary Care Clinic/Center
  • Camuy, PR
National Provider Identifier
1124417464
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SAN JOSE PRIMARY MEDICINE INC
Practice address
# 2 Street KM 94.1
Camuy, PR 00627
Phone
(787) 262-4167
Fax
(787) 933-4120
NPI assigned
Jan 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

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

Authorized official

Name
Dr. Edgardo Marrero Perez, MDNPI 1821102708
Title
President
Phone
(787) 966-5894

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

# 2 Street KM 94.1
Camuy, PR 00627

Mailing address

PO Box 141764
Arecibo, PR 00614-1764
Phone (787) 966-5894

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1420761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1124417464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141764",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006141764",
            "telephone_number": "787-966-5894",
            "fax_number": "787-933-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "# 2 STREET KM 94.1",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "00627",
            "telephone_number": "787-262-4167",
            "fax_number": "787-933-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JOSE PRIMARY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-09",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "MARRERO PEREZ",
        "authorized_official_first_name": "EDGARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-966-5894",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camuy, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; 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.