Eastern Advanced Medical Group

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

EASTERN ADVANCED MEDICAL GROUP

Practice address

Calle Dufresne No. 59 W
Humacao, PR 00791-3609

Phone

(787) 285-0655

NPI assigned

Jun 13, 2006

Last updated

Aug 22, 2020By 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

Mr. Melvin Rodriguez

Title

Adminsitrator

Phone

(787) 285-0655

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437192051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE DUFRESNE NO. 59 W",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913609",
            "telephone_number": "787-285-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE DUFRESNE NO. 59 W",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913609",
            "telephone_number": "787-285-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN ADVANCED MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_title_or_position": "ADMINSITRATOR",
        "authorized_official_telephone_number": "787-285-0655",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dufresne Business, Inc. (Servicios Radiologicos Humacao)
• Duna Medical Services
• East Coast Medical Group Inc
• East New Dawn Psychotherapy, LLC
• Eastern Advanced Health Care
• Eastern Health LLC
• Eastern Industrial Medical Services,Inc.
• Eastern Puerto Rico Diabetes Care Center
• Eastern Retina Consultants of Puerto Rico, PSC
• Ecb Humacao LLC (Eye Center Boutique)

• Specialist in Humacao, PR
• Providers in Humacao, PR by specialty
• Specialist 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.