Embd Medics PSC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

15171 Issued in PR

Legal business name

EMBD MEDICS PSC

Practice address

Inst San Pablo
Suite 503
Bayamon, PR 00961

Phone

(787) 740-1011

NPI assigned

Sep 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ernesto X Marrero-de Gracia

Title

President

Phone

(787) 599-1174

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1205084407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "R11 CALLE 2",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009574315",
            "telephone_number": "787-599-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "INST SAN PABLO",
            "address_2": "SUITE 503",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-740-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBD MEDICS PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "MARRERO-DE GRACIA",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_middle_name": "X",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-599-1174",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "15171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Bayamon, PR
• Providers in Bayamon, 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 3, 2008; 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.