RPS Primary Medical Center PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

RPS PRIMARY MEDICAL CENTER PLLC

Practice address

2900 Loopdale LN
Kissimmee, FL 34741-7658

Phone

(689) 221-0039

NPI assigned

Apr 14, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Maria Otero, DIRECTOR

Title

Director Business Operations

Phone

(689) 221-0039

Specialties & licenses 1

Addresses

Other names 1

• RPS Primary Medical Center PLLC Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

RPS Primary Medical Center2 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.

• RPS Primary Medical Center PLLC

  • Primary Care Clinic/Center
  • Kissimmee, FL
  • NPI 1003486960
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carlos Felico Pupo Sr., APRN

  • General Practice Registered Nurse
  • Kissimmee, FL
  • NPI 1073113973
  Medicare reassignment NPD
• Rebeca Lidia Perez Sanchez, MD

  • General Practice Physician
  • Kissimmee, FL
  • NPI 1356871735
  Medicare reassignment NPD
• Ciria Isabel Castro Perez

  • General Practice Physician
  • Kissimmee, FL
  • NPI 1649116518
  NPD (past)
• Rosalba Perez Mas

  • General Practice Physician
  • Kissimmee, FL
  • NPI 1881530780
  NPD (past)

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1417537200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 LOOPDALE LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417658",
            "telephone_number": "689-221-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 LOOPDALE LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417658",
            "telephone_number": "689-221-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RPS PRIMARY MEDICAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "OTERO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "DIRECTOR BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "689-221-0039",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RPS Primary Medical Center PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacy Rowicki, OTR
• Royal Palm Beach Rehab Corp
• Royal Palm Beach Rehab, Corp.
• Natacha Paul Royal
• RPS Primary Medical Center PLLC
• Mariana Rubio Romero
• Laura Tatiana Rubio, MSW
• Laura Tiffany Ruise, RBT
• Cynthia Enid Ruiz Cortes, M.D
• Francisco Ruiz Garcia

• Family Medicine Physician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.