Preventive Family Medicine PSC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

16068 Issued in PR

Legal business name

PREVENTIVE FAMILY MEDICINE PSC

Practice address

200 Ave Rafael Cordero
Suite 140 PMB 509
Caguas, PR 00725-3740

Phone

(787) 531-2123

NPI assigned

Dec 11, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Olga P Lagrandier, MD

Title

President

Phone

(787) 531-2123

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

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

• Olga P Lagrandier Gomez, M.D.

  • Family Medicine Physician
  • Caguas, PR
  • NPI 1356386171
  Medicare reassignment NPD

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386720000000",
    "number": "1174954507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 AVE RAFAEL CORDERO",
            "address_2": "SUITE 140 PMB 509",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253740",
            "telephone_number": "787-531-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 AVE RAFAEL CORDERO",
            "address_2": "SUITE 140 PMB 509",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253740",
            "telephone_number": "787-531-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTIVE FAMILY MEDICINE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-11",
        "last_updated": "2013-12-11",
        "status": "A",
        "authorized_official_last_name": "LAGRANDIER",
        "authorized_official_first_name": "OLGA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-531-2123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "16068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Caguas, PR
• Providers in Caguas, PR by specialty
• Family Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; 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.