Premier Med Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PREMIER MED INC

Practice address

Carr 9987 Apto 116 Ocean Club at Seven Seas
Fajardo, PR 00738

Phone

(787) 224-9971

NPI assigned

Jul 18, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Efren Rivera, M.D.

Title

President

Phone

(787) 224-9971

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 1

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

• Efren Rivera Santiago, MD

  • General Practice Physician
  • Fajardo, PR
  • NPI 1619138344
  Medicare reassignment NPD

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1285472761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CARR 9987 APTO 116 OCEAN CLUB AT SEVEN SEAS",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-224-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 9987 APTO 116 OCEAN CLUB AT SEVEN SEAS",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-224-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "EFREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-224-9971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivelisse Pinero Rivera, MS,SLP,CCPLSVT,BOM
• Luis Enrique Pita, D.M.D.
• Danalys Pizarro Pagan
• PMC Marketing Corp (Farmacia El Amal # 66)
• Vicamarie Pomales Pomales, RN
• Premium Medical Supply & Equipment Inc
• Professional Optical Center
• Pure Health & Pos Energy LLC
• Angel Jose Quesada Alonso, MD
• Felix R Quiles Fernandez, MD

• General Practice Physician in Fajardo, PR
• Providers in Fajardo, 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 Jul 18, 2024; 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.