Internal Medicine Canovanas Group Corp.

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

Legal business name

INTERNAL MEDICINE CANOVANAS GROUP CORP.

Doing business as

Centro Cuidado Preventivio

Practice address

48 Calle Orquidea
Urb Loiza Valley
Canovanas, PR 00729-3596

Phone

(787) 256-0848

Fax

(787) 256-2990

NPI assigned

Feb 7, 2014

Last updated

Feb 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lourdes Merino

Title

Manager

Phone

(787) 256-0848

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Centro Cuidado Preventivio Doing business as

Tax ID family

Centro Cuidado Preventivio2 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.

• Internal Medicine Canovanas Group Corp.

  • Internal Medicine Physician
  • Canovanas, PR
  • NPI 1689629115
  NPD tax ID

Practitioners 1

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.

• Eduardo A Michelen Namnun, M.D.

  • Internal Medicine Physician
  • Canovanas, PR
  • NPI 1578518098
  NPD

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391731200000",
    "number": "1407270606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20000",
            "address_2": "PMB 121",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "00729",
            "telephone_number": "787-256-0848",
            "fax_number": "787-256-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 CALLE ORQUIDEA",
            "address_2": "URB LOIZA VALLEY",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007293596",
            "telephone_number": "787-256-0848",
            "fax_number": "787-256-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE CANOVANAS GROUP CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-07",
        "last_updated": "2014-02-07",
        "status": "A",
        "authorized_official_last_name": "MERINO",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "787-256-0848",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "HQ871A",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centro Cuidado Preventivio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Insight Reading Group
• Instituto Medico Familiar del Este
• Instituto Medico Familiar del Este
• Instituto Medico Familiar Inc
• Intelli-Data Solutions Group
• Internal Medicine Canovanas Group Corp.
• International Foundcare
• Carlos R Iturrino, DMD
• Luis Raul Iturrino
• Jorge R Jarrot, DC

• Public Health & General Preventive Medicine Physician in Canovanas, PR
• Providers in Canovanas, PR by specialty
• Public Health & General Preventive Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.