Active NPI
Grupo Medicina Primaria de Corozal, Inc.
- Health Maintenance Organization
- Corozal, PR
National Provider Identifier
1407092208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
National Provider Directory
National Provider DirectoryLocations
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.