Ipa 22 GRP Medico de Arecibo

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

IPA 22 GRP MEDICO DE ARECIBO

Practice address

51 Calle Gautier Benitez
Arecibo, PR 00612-4418

Phone

(787) 880-1020

Fax

(787) 880-1011

NPI assigned

Sep 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Clara Molina Adame

Title

MD

Phone

(787) 880-1020

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407959679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006130846",
            "telephone_number": "787-880-1020",
            "fax_number": "787-880-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 CALLE GAUTIER BENITEZ",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124418",
            "telephone_number": "787-880-1020",
            "fax_number": "787-880-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IPA 22 GRP MEDICO DE ARECIBO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOLINA ADAME",
        "authorized_official_first_name": "CLARA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "787-880-1020",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "10369",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Instituto Radiologico de Arecibo
• Integral Therapy Center
• Integramed Primary Care LLC
• Integrated Cardiovascular Solutions LLC
• International Pharmacy, Inc
• Ipa Policlinica Familiar Factor Doctores Nieves, CSP
• Ipa Policlinica Villa Los Santos
• Ipa Policlinica Villa Los Santos
• Ipa Policlinica Villa Los Santos
• Irizarry Medical Care LLC

• Family Medicine Physician in Arecibo, PR
• Providers in Arecibo, PR by specialty
• Family Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.