Organization Active NPI

G & a Medical Group Corp

  • Health Service Clinic/Center
  • Yauco, PR
National Provider Identifier
1356658546
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
G & A MEDICAL GROUP CORP
Practice address
3 Calle Dr Gatel
Yauco, PR 00698-4915
Phone
(787) 856-4747
Fax
(787) 836-7991
NPI assigned
Sep 9, 2010
Last updated
Nov 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

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

Authorized official

Name
Dr. Gretchen Ortiz, MD
Title
VP
Phone
(787) 856-4747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

3 Calle Dr Gatel
Yauco, PR 00698-4915

Mailing address

PO Box 253
Penuelas, PR 00624-0253
Phone (787) 856-4747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111024000471 PR Part B Supplier - Clinic/Group Practice 3971776725 Receives reassigned benefits from 2 practitioners
Practice locations: Yauco, PR

National Provider Directory

National Provider Directory

Locations

39 Calle Santo Domingo
Yauco, PR 00698
Phone (787) 856-4747

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1356658546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 253",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "006240253",
            "telephone_number": "787-856-4747",
            "fax_number": "787-836-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CALLE DR GATEL",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006984915",
            "telephone_number": "787-856-4747",
            "fax_number": "787-836-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G & A MEDICAL GROUP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-09",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "787-856-4747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yauco, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.