MD Premier Health LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MD PREMIER HEALTH LLC

Practice address

Rio la Plata Mall Ste A3
Toa Alta, PR 00953-1837

Phone

(787) 870-2148

Fax

(787) 870-7431

NPI assigned

Jan 27, 2023

Last updated

Jul 2, 2024By 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. Rigoberto Gonzalez Jimenez, MDNPI 1114457009

Title

Vice President

Phone

(939) 649-0848

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rigoberto Gonzalez Jimenez, MD

  • General Practice Physician
  • Dorado, PR
  • NPI 1114457009
  Medicare reassignment NPD Authorized official
• Germariliz Diaz Martinez, M.D.

  • General Practice Physician
  • Yabucoa, PR
  • NPI 1306251491
  Medicare reassignment NPD

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1326754706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 PLAZA CARMEN",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006929128",
            "telephone_number": "939-649-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RIO LA PLATA MALL STE A3",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009531837",
            "telephone_number": "787-870-2148",
            "fax_number": "787-870-7431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD PREMIER HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-27",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ JIMENEZ",
        "authorized_official_first_name": "RIGOBERTO",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "939-649-0848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Master Medic Emergency Service Inc
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• Ana M Mateo Morel, PA
• Lizmarie Matos, MSW
• Mylthia P Matos, OD
• Medical Emergency Group JRJ, C.S.P.
• Medical Express Logistics LLC
• Medical Prosthetic
• Medina 'S Nurse & Care LLC
• Kevin Medina Cruz

• General Practice Physician in Toa Alta, PR
• Providers in Toa Alta, 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 2, 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.