Organization Active NPI

Grupo de Medicos Visitantes del Oeste,CSP

  • General Practice Physician
  • Mayaguez, PR
National Provider Identifier
1386853950
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15132 Issued in PR
Legal business name
GRUPO DE MEDICOS VISITANTES DEL OESTE,CSP
Practice address
52 Calle de Diego W
Mayaguez, PR 00680-4733
Phone
(787) 831-5479
Fax
(787) 831-5479
NPI assigned
May 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Rafael A Campos, MD
Title
President
Phone
(787) 831-5479

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 15132 PR Primary

Addresses

Primary practice location

52 Calle de Diego W
Mayaguez, PR 00680-4733

Mailing address

PO Box 3030
Mayaguez, PR 00681-3030
Phone (787) 831-5479

Other identifiers 1

IdentifierTypeStateIssuer
4426OtherPRREGISTER

National Provider Directory

National Provider Directory

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": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386853950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3030",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006813030",
            "telephone_number": "787-831-5479",
            "fax_number": "787-831-5479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 CALLE DE DIEGO W",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804733",
            "telephone_number": "787-831-5479",
            "fax_number": "787-831-5479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUPO DE MEDICOS VISITANTES DEL OESTE,CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMPOS",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-831-5479",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "15132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTER",
            "identifier": "4426",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • 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.