Organization Active NPI

Grupo Medicina Primaria de Corozal, Inc.

  • Health Maintenance Organization
  • Corozal, PR
National Provider Identifier
1407092208
Registry record updated Dec 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
GRUPO MEDICINA PRIMARIA DE COROZAL, INC.
Practice address
23 Calle Las Mercedes
Corozal, PR 00783-1924
Phone
(787) 859-6452
Fax
(787) 859-6452
NPI assigned
Dec 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2008

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

Authorized official

Name
Dr. Miguel A Ortiz
Title
President
Phone
(787) 859-6452

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

23 Calle Las Mercedes
Corozal, PR 00783-1924

Mailing address

PMB 108 PO Box 94000
Corozal, PUERTO RICO 00783
UM
Phone (787) 859-6452

Other names 1

  • Grupo Medicina Primaria de Corozal, Inc. Other name

National Provider Directory

National Provider Directory

Locations

23 Calle Las Mercedes
Corozal, PR 00783
Phone (787) 859-5434

NPI Registry JSON

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1407092208",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "PMB 108 PO BOX 94000",
            "city": "COROZAL",
            "state": "PUERTO RICO",
            "postal_code": "00783",
            "telephone_number": "787-859-6452",
            "fax_number": "787-859-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CALLE LAS MERCEDES",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "007831924",
            "telephone_number": "787-859-6452",
            "fax_number": "787-859-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUPO MEDICINA PRIMARIA DE COROZAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-859-6452",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grupo Medicina Primaria de Corozal, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Corozal, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; 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.