NPIMap

Organization Active NPI

Rio Grande Medical Group

  • Corporate Health Clinic/Center
  • Rio Grande, PR
National Provider Identifier
1376868380
Registry record updated Apr 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corporate Health Clinic/CenterTaxonomy code 261QC1800X
License
172590 Issued in PR
Legal business name
RIO GRANDE MEDICAL GROUP
Practice address
Villas de Rio Grande
Calle 4 L 1
Rio Grande, PR 00745-0000
Phone
(787) 888-7336
Fax
(787) 887-4045
NPI assigned
Apr 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2010

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

Authorized official

Name
Carmen Lopez, M.D.NPI 1255314746
Title
President
Phone
(787) 637-4449

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corporate Health Clinic/Center 261QC1800X 172590 PR Primary

Addresses

Primary practice location

Villas de Rio Grande
Calle 4 L 1
Rio Grande, PR 00745-0000

Mailing address

Villas de Rio Grande
Calle 4 L 1
Rio Grande, PR 00745-0000
Phone (787) 888-7336

Other identifiers 1

IdentifierTypeStateIssuer
172590OtherPRFORMER LEGAL BUSINESS NAME

Other names 1

  • SAME Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Rio Grande Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

L1 Calle 4
Rio Grande, PR 00745
Phone (787) 888-7336

Practitioners & affiliated clinicians

Practitioners 3

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": "1270080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270080000000",
    "number": "1376868380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VILLAS DE RIO GRANDE",
            "address_2": "CALLE 4 L 1",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007450000",
            "telephone_number": "787-888-7336",
            "fax_number": "787-887-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VILLAS DE RIO GRANDE",
            "address_2": "CALLE 4 L 1",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007450000",
            "telephone_number": "787-888-7336",
            "fax_number": "787-887-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIO GRANDE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-01",
        "last_updated": "2010-04-01",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-637-4449",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": "PR",
            "license": "172590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FORMER LEGAL BUSINESS NAME",
            "identifier": "172590",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAME",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rio Grande, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; 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.