Grupo Medico de Dorado Ipa 305

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

GRUPO MEDICO DE DORADO IPA 305

Practice address

A6 Luis Munoz Rivera
Urb. Martorell
Dorado, PR 00646

Phone

(787) 796-6568

NPI assigned

May 11, 2007

Organization subpart

No

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

Authorized official

Name

Gladys Nieves, BBA

Title

Manager

Phone

(787) 796-6568

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336354521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 687",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006460687",
            "telephone_number": "787-796-6568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A6 LUIS MUNOZ RIVERA",
            "address_2": "URB. MARTORELL",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "787-796-6568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUPO MEDICO DE DORADO IPA 305",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NIEVES",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "787-796-6568",
        "authorized_official_credential": "BBA"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Manager/Care Coordinator in Dorado, PR
• Providers in Dorado, PR by specialty
• Case Manager/Care Coordinator 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.