Naem Pediatric Group PSC

Primary specialty

SpecialistTaxonomy code 174400000X

License

14520 Issued in PR

Legal business name

NAEM PEDIATRIC GROUP PSC

Practice address

351 Avenida Hostos
Suite 412 Medical Emporium
Mayaguez, PR 00680-1504

Phone

(787) 805-3131

Fax

(787) 805-3131

NPI assigned

Mar 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Drisde I Cruz-Martinez, M.D.

Title

Pediatrician

Phone

(787) 805-3131

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1225208051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 957",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006810957",
            "telephone_number": "787-805-3131",
            "fax_number": "787-805-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 AVENIDA HOSTOS",
            "address_2": "SUITE 412 MEDICAL EMPORIUM",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006801504",
            "telephone_number": "787-805-3131",
            "fax_number": "787-805-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAEM PEDIATRIC GROUP PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "CRUZ-MARTINEZ",
        "authorized_official_first_name": "DRISDE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "787-805-3131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "14520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.