Centro de Medicina Primaria Bayamon Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

173571 Issued in PR

Legal business name

CENTRO DE MEDICINA PRIMARIA BAYAMON INC

Practice address

D54 Ave Laurel
Urb. Santa Juanita
Bayamon, PR 00956-4661

Phone

(787) 269-9944

Fax

(787) 269-9944

NPI assigned

Oct 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Roberto A Rodriguez, M.D.

Title

Presidente

Phone

(787) 269-9944

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1366630360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1168 CALLE FINLANDIA",
            "address_2": "URB. PLAZA DE LAS FUENTES",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009533809",
            "telephone_number": "787-269-9944",
            "fax_number": "787-269-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "D54 AVE LAUREL",
            "address_2": "URB. SANTA JUANITA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009564661",
            "telephone_number": "787-269-9944",
            "fax_number": "787-269-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE MEDICINA PRIMARIA BAYAMON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-269-9944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": "173571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA GOLD CHOICE",
            "identifier": "9090173",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMC PREFERRED MEDICAL CHO",
            "identifier": "3834",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "22373",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE Y MUCHO MAS",
            "identifier": "500437 E",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0022373",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Centro de Servicios de Salud de Bayamon

• Clinic/Center in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.