NPIMap

Organization Active NPI

Am Intermedical LLC

  • Internal Medicine Physician
  • San Juan, PR
National Provider Identifier
1134539810
Registry record updated May 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13605 Issued in PR
Legal business name
AM INTERMEDICAL LLC
Practice address
820 Calle Molucas
San Juan, PR 00924-1723
Phone
(787) 768-4278
Fax
(787) 769-2220
NPI assigned
May 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2014

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

Authorized official

Name
Dr. Melva Nydia Gonzalez, MDNPI 1639130297
Title
Administrator
Phone
(939) 969-9051

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 13605 PR Primary

Addresses

Primary practice location

820 Calle Molucas
San Juan, PR 00924-1723

Mailing address

PO Box 29430
San Juan, PR 00929-0430
Phone (787) 768-4278

National Provider Directory

National Provider Directory

Locations

820 Calle Molucas
San Juan, PR 00924
Phone (787) 768-4278

Practitioners & affiliated clinicians

Practitioners 5

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": "1398988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398988800000",
    "number": "1134539810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29430",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009290430",
            "telephone_number": "787-768-4278",
            "fax_number": "787-769-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 CALLE MOLUCAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009241723",
            "telephone_number": "787-768-4278",
            "fax_number": "787-769-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AM INTERMEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-02",
        "last_updated": "2014-05-02",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MELVA",
        "authorized_official_middle_name": "NYDIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "939-969-9051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "13605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; 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.