Policlinica San Pedro Reforma

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

POLICLINICA SAN PEDRO REFORMA

Practice address

211 Calle Morse
Arroyo, PR 00714-2350

Phone

(787) 839-3980

NPI assigned

May 4, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jose S Rivera Badui, MD

Title

Owner

Phone

(787) 839-3980

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245442235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 818",
            "city": "ARROYO",
            "state": "PR",
            "postal_code": "007140818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 CALLE MORSE",
            "city": "ARROYO",
            "state": "PR",
            "postal_code": "007142350",
            "telephone_number": "787-839-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLICLINICA SAN PEDRO REFORMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIVERA BADUI",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-839-3980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perfect Lens LLC (Optics)
• Angel Antonio Picart
• Policlinica San Pedro PSC (CDT Policlinica San Pedro)
• Policlinica San Pedro PSC (CDT Policlinica San Pedro)
• Policlinica San Pedro PSC (CDT Policlinica San Pedro)
• Thelma Damaris Ramos Lassus, TDRL
• Itza Y Ramos-Anaya
• Ramon L. Ramos
• Reinaldo Lebron (Lebron Medical Care)
• Erica I Rexach- Diaz, PSY. D.

• General Practice Physician in Arroyo, PR
• Providers in Arroyo, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.