Oficina Medica Primaria del Sur CSP

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

16881 Issued in PR

Legal business name

OFICINA MEDICA PRIMARIA DEL SUR CSP

Practice address

65 Infanteria A1
Local Anexo Rema
Yauco, PR 00698

Phone

(787) 992-7199

Fax

(787) 992-7199

NPI assigned

Sep 17, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jose E Gonzalez Moreno, MDNPI 1154503068

Title

President

Phone

(787) 690-2644

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jose Enrique Gonzalez Moreno, MD

  • Internal Medicine Physician
  • Yauco, PR
  • NPI 1154503068
  Medicare reassignment NPD Authorized official
• Gisela Velez Ramirez, M.D.

  • General Practice Physician
  • Yauco, PR
  • NPI 1730102997
  Medicare reassignment

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1134598337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 446",
            "city": "GUANICA",
            "state": "PR",
            "postal_code": "006530446",
            "telephone_number": "787-992-7199",
            "fax_number": "787-992-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 INFANTERIA A1",
            "address_2": "LOCAL ANEXO REMA",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "00698",
            "telephone_number": "787-992-7199",
            "fax_number": "787-992-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFICINA MEDICA PRIMARIA DEL SUR CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ MORENO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-690-2644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "16881",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "15915",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yadira Negron
• Shuk Ling NG Wong, PHARMD
• Maria V Nunez Naranjo, MSW
• Nutricion Al Dia
• Nutrika Low Profit LLC
• Ogo Yauco, LLC
• Melgrid Olmeda
• Omayra Rodriguez Velez
• Optometry World-Yauco
• Ariel Del C. Orengo, M.D

• Internal Medicine Physician in Yauco, PR
• Providers in Yauco, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.