Active NPI
Grupo Medico Rabanal LLC
- General Practice Physician
- Cidra, PR
National Provider Identifier
1376133207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- GRUPO MEDICO RABANAL LLC
- Practice address
- Carretera 173 KM. 6.5 Sector San Jose Barrio Rabanal
Cidra, PR 00739 - Phone
- (787) 739-3870
- NPI assigned
- Jan 25, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ruben Mendez, MD
- Title
- Principal Member
- Phone
- (787) 520-7434
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
Carretera 173 KM. 6.5 Sector San Jose Barrio Rabanal
Cidra, PR 00739
Mailing address
PO Box 1883
Cidra, PR 00739-1883
Phone (787) 520-7434
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Cidra, PR
- NPI 1588728984
-
- General Practice Physician
- Cidra, PR
- NPI 1699445262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611532800000",
"number": "1376133207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1883",
"city": "CIDRA",
"state": "PR",
"postal_code": "007391883",
"telephone_number": "787-520-7434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARRETERA 173 KM. 6.5 SECTOR SAN JOSE BARRIO RABANAL",
"city": "CIDRA",
"state": "PR",
"postal_code": "00739",
"telephone_number": "787-739-3870"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRUPO MEDICO RABANAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-25",
"last_updated": "2021-01-25",
"certification_date": "2021-01-08",
"status": "A",
"authorized_official_last_name": "MENDEZ",
"authorized_official_first_name": "RUBEN",
"authorized_official_title_or_position": "PRINCIPAL MEMBER",
"authorized_official_telephone_number": "787-520-7434",
"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": []
}
Other providers in Cidra, PR
- Grupo Integrado Medicina Primaria Inc
- Grupo Medico Centro Medicina Especializada
- Grupo Medico Centro Medicina Especilizada
- Grupo Medico de Cidra, Inc.
- Grupo Medico Medicina Especializada
- Grupo Pediatrico Cidreno, CSP
- Cristina Caridad Gutierrez Hernandez, LND
- H.a.Z. Health Services Inc.
- Hablemos Centro de Habilitacion Y Rehabilitacion del Habla-Lenguajecrl
- Healing Hands Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.