Centro de Medicina Familiar LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CENTRO DE MEDICINA FAMILIAR LLC

Practice address

A4 Calle Garcia de la Noc
Rio Grande, PR 00745-2859

Phone

(787) 888-0576

Fax

(939) 221-2393

NPI assigned

Jan 12, 2021

Last updated

Mar 31, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

CENTRO DE MEDICINA FAMILIAR LLCAs reported in NPPES

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

Authorized official

Name

Roberto Durand Rolon, MDNPI 1588796437

Title

Medicine Doctor

Phone

(787) 888-0576

Specialties & licenses 1

Addresses

Other names 1

• Centro de Medicina Familiar Former legal business name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Part of

Centro de Medicina Familiar

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roberto Durand Rolon Sr., MD

  • General Practice Physician
  • Rio Grande, PR
  • NPI 1588796437
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1124617444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2220",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007452225",
            "telephone_number": "787-888-0576",
            "fax_number": "939-221-2393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A4 CALLE GARCIA DE LA NOC",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007452859",
            "telephone_number": "787-888-0576",
            "fax_number": "939-221-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE MEDICINA FAMILIAR LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRO DE MEDICINA FAMILIAR LLC",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "DURAND ROLON",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "MEDICINE DOCTOR",
        "authorized_official_telephone_number": "787-888-0576",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centro de Medicina Familiar",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Centro de Medicina Avanzada de Rio Grande LLC
• Centro de Medicina Fisica Y Rehabilitacion Rio Grande,Inc
• Centro de Servicios Individualizados Zurisadai
• Centro Denal Pediatrico Smiles 'R' US CSP
• Centro Diagnostico Y Tratamiento de Rio Grande
• Centro Psicologico Y Terapeutico Para la Familia Encuentro (Centro Psicologico y Terapeutico para la Familia, Encuentro Inc)

• General Practice Physician in Rio Grande, PR
• Providers in Rio Grande, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.