FR-Mo Medical Group PSC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

13326 Issued in PR

Legal business name

FR-MO MEDICAL GROUP PSC

Practice address

Metro Medical Center
Suite 701 Piso 7
Bayamon, PUERTO RICO 00956
UM

Phone

(787) 395-7085

Fax

(787) 395-7090

NPI assigned

Dec 8, 2010

Last updated

Dec 8, 2010By 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

Ferdinand Rivera Ortiz, MDNPI 1174554356

Title

President

Phone

(787) 359-2516

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 2

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.

• Ferdinand Rivera Ortiz, M.D.

  • Nephrology Physician
  • San Juan, PR
  • NPI 1174554356
  Medicare reassignment NPD Authorized official
• Veronica Meza-Venencia, M.D

  • Nephrology Physician
  • San Juan, PR
  • NPI 1720281967
  Medicare reassignment NPD

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1427351774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE 1 K1",
            "address_2": "MANSIONES DE VILLA NOVA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009260000",
            "telephone_number": "787-395-7085",
            "fax_number": "787-395-7090"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "METRO MEDICAL CENTER",
            "address_2": "SUITE 701 PISO 7",
            "city": "BAYAMON",
            "state": "PUERTO RICO",
            "postal_code": "00956",
            "telephone_number": "787-395-7085",
            "fax_number": "787-395-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FR-MO MEDICAL GROUP PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "RIVERA ORTIZ",
        "authorized_official_first_name": "FERDINAND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-359-2516",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PR",
            "license": "14159",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "13326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.