NPIMap

Organization Active NPI

Primary Medical Center, Inc

  • Clinic/Center
  • Ponce, PR
National Provider Identifier
1407635568
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PRIMARY MEDICAL CENTER, INC
Practice address
Calle Ferrocarril #607 Esq. Torres
Edif. San Francisco
Ponce, PR 00717
Phone
(787) 844-0331
Fax
(787) 840-8874
NPI assigned
Sep 27, 2023
Last updated
Sep 27, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
PRIMARY MEDICAL CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Authorized official

Name
Sergio Chevere Mourino, MDNPI 1528038973
Title
President
Phone
(787) 844-0331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

Calle Ferrocarril #607 Esq. Torres
Edif. San Francisco
Ponce, PR 00717

Mailing address

PO Box 336149
Ponce, PR 00733-6149
Phone (787) 844-0331

Other names 1

  • PRIMARY MEDICAL CENTER - VACCINES Other name

National Provider Directory

National Provider Directory
Tax ID family
Primary Medical Center Ipa8 organizations share this tax ID, including this one
Part of
Primary Medical Center Ipa

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1407635568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 336149",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007336149",
            "telephone_number": "787-844-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE FERROCARRIL #607 ESQ. TORRES",
            "address_2": "EDIF. SAN FRANCISCO",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "787-844-0331",
            "fax_number": "787-840-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY MEDICAL CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIMARY MEDICAL CENTER, INC",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "CHEVERE MOURINO",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-844-0331",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIMARY MEDICAL CENTER - VACCINES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.