Grupo Medico Policlinica San Pedro CSP

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

GRUPO MEDICO POLICLINICA SAN PEDRO CSP

Practice address

211 Calle Morse
Arroyo, PR 00714-2350

Phone

(787) 839-3980

Fax

(787) 271-2515

NPI assigned

Feb 23, 2010

Last updated

Feb 23, 2010By 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 Sandalio Rivera Badui, M.D.

Title

President

Phone

(787) 839-3980

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266883200000",
    "number": "1295057966",
    "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",
            "telephone_number": "787-839-3980",
            "fax_number": "787-271-2515"
        },
        {
            "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",
            "fax_number": "787-271-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUPO MEDICO POLICLINICA SAN PEDRO CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-23",
        "last_updated": "2010-02-23",
        "status": "A",
        "authorized_official_last_name": "RIVERA BADUI",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "SANDALIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-839-3980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farmacia Centro Salud Familiar Arago
• Farmacia San Carlos III Inc (Farmacia San Carlos III)
• Genesis Clinical Health Group, Inc
• Eugenio Gonzalez Castillo, MD
• Lymarta Guadalupe Gonzalez Santiago, PHARM.D.
• Grupo Medico Policlinica San Pedro Medicare Advantage
• Maria del Carmen Gutierrez Ortiz, MD
• Angelica Raquel Herrera, CPHT
• Hogar Brisas del Cielo L.L.C.
• Hogar Montefe Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.