Primed Ipa210

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

10266 Issued in PR

Legal business name

PRIMED IPA210

Practice address

Calle San Antonio #212 Oficina # 8 Edificio Hormigueros
Plaza
Hormigueros, PR 00660

Phone

(787) 849-3960

NPI assigned

Apr 26, 2007

Last updated

Aug 22, 2020By 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

Eduardo Chamah, M.D.

Title

President

Phone

(787) 849-3960

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356561138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1118",
            "city": "HORMIGUEROS",
            "state": "PR",
            "postal_code": "00660",
            "telephone_number": "787-849-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE SAN ANTONIO #212 OFICINA # 8 EDIFICIO HORMIGUEROS",
            "address_2": "PLAZA",
            "city": "HORMIGUEROS",
            "state": "PR",
            "postal_code": "00660",
            "telephone_number": "787-849-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMED IPA210",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAMAH",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-849-3960",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "10266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marta Maria Perez Canals, DMD
• Maria C Perez Marrero, MD
• Edward A Perez, B.S., D.C.
• Isabel Perez
• Hedrick Porrata-Rivera, M.D.
• Primedica, Inc. (N/a)
• Psicologia Innovadora del Oeste
• Jose Adrian Quevedo, T.H.L.
• Radames Quinones - Rivera, M.D.
• Eileen Martiza Quinones, M.D.

• Family Medicine Physician in Hormigueros, PR
• Providers in Hormigueros, PR by specialty
• Family Medicine Physician 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.