NPIMap

Organization Active NPI

Prymed Medical Care Inc

  • Federally Qualified Health Center (FQHC)
  • Ciales, PR
National Provider Identifier
1164987152
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PRYMED MEDICAL CARE INC
Practice address
Bo Jaguas Carr 149 KM 13
Ciales, PR 00638
Phone
(787) 871-0601
Fax
(787) 871-3960
NPI assigned
Feb 5, 2019
Last updated
Feb 5, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
PRYMED MEDICAL CARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Authorized official

Name
Marisol Vega de Jesus
Title
Finance Director
Phone
(787) 871-0601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

Bo Jaguas Carr 149 KM 13
Ciales, PR 00638

Mailing address

PO Box 1427
Ciales, PR 00638-1427
Phone (787) 871-0601

Other names 1

  • PRYMED MEDICAL CARE VACCINE Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041220000012 PR Part B Supplier - Clinic/Group Practice 3870550072 Receives reassigned benefits from 21 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ciales, PR; Vega Baja, PR

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Prymed Medical Care Inc12 organizations share this tax ID, including this one
Part of
Prymed Medical Care Inc

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549324800000",
    "number": "1164987152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1427",
            "city": "CIALES",
            "state": "PR",
            "postal_code": "006381427",
            "telephone_number": "787-871-0601",
            "fax_number": "787-871-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO JAGUAS CARR 149 KM 13",
            "city": "CIALES",
            "state": "PR",
            "postal_code": "00638",
            "telephone_number": "787-871-0601",
            "fax_number": "787-871-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRYMED MEDICAL CARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRYMED MEDICAL CARE INC",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-02-05",
        "status": "A",
        "authorized_official_last_name": "VEGA DE JESUS",
        "authorized_official_first_name": "MARISOL",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "787-871-0601"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRYMED MEDICAL CARE VACCINE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ciales, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.