Organization Active NPI

Gramedic LLC

  • General Practice Physician
  • Arecibo, PR
National Provider Identifier
1407523186
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
GRAMEDIC LLC
Practice address
Victor Rojas 1
Calle Marginal A26
Arecibo, PR 00612-3341
Phone
(787) 616-1660
NPI assigned
Aug 30, 2021
Last updated
Aug 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Authorized official

Name
Gustavo Rodriguez Alvarez, MD
Title
Owner
Phone
(787) 619-1660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

Victor Rojas 1
Calle Marginal A26
Arecibo, PR 00612-3341

Mailing address

Urb Villa Serena
Calle Canario E19
Arecibo, PR 00612-3341
Phone (787) 619-1660

National Provider Directory

National Provider Directory

Locations

A1 Calle Marginal
Arecibo, PR 00612
Phone (787) 616-1660

NPI Registry JSON

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1407523186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB VILLA SERENA",
            "address_2": "CALLE CANARIO E19",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006123341",
            "telephone_number": "787-619-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VICTOR ROJAS 1",
            "address_2": "CALLE MARGINAL A26",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006123341",
            "telephone_number": "787-616-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAMEDIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_middle_name": "RODRIGUEZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-619-1660",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.