Organization Active NPI

Syd Global Medical Group Puerto Rico Inc

  • General Practice Physician
  • Mayaguez, PR
National Provider Identifier
1285388116
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SYD GLOBAL MEDICAL GROUP PUERTO RICO INC
Practice address
740 Ave. Hostos, Ste311,Cond. Medical Center Plaza
Mayaguez, PR 00682
Phone
(787) 249-5062
NPI assigned
Feb 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Authorized official

Name
Dr. Dimary Ortiz, M.D.
Title
President
Phone
(787) 249-5062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

740 Ave. Hostos, Ste311,Cond. Medical Center Plaza
Mayaguez, PR 00682

Mailing address

49 Carr 307
Apartado 108, Edif Olas a-8, Caboqueron Resort
Boqueron, PR 00622
Phone (787) 249-5062

Other names 1

  • SYD GLOBAL MEDICAL GROUP PUERTO RICO INC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1285388116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 CARR 307",
            "address_2": "APARTADO 108, EDIF OLAS A-8, CABOQUERON RESORT",
            "city": "BOQUERON",
            "state": "PR",
            "postal_code": "00622",
            "telephone_number": "787-249-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 AVE. HOSTOS, STE311,COND. MEDICAL CENTER PLAZA",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00682",
            "telephone_number": "787-249-5062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYD GLOBAL MEDICAL GROUP PUERTO RICO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "DIMARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-249-5062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SYD GLOBAL MEDICAL GROUP PUERTO RICO INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.