Preventive Med of PR LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

16123 Issued in PR

Legal business name

PREVENTIVE MED OF PR LLC

Practice address

Sea View BG3
Cabo Rojo, PR 00623

Phone

(787) 248-2821

NPI assigned

Oct 26, 2016

Last updated

Oct 28, 2016By 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

Juan Ruiz RiosNPI 1598971426

Title

Authorized Official

Phone

(787) 248-2821

Specialties & licenses 1

Addresses

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.

• Juan Marcelo Ruiz Rios, M.D.

  • General Practice Physician
  • Mayaguez, PR
  • NPI 1598971426
  NPD (past) Authorized official

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477612800000",
    "number": "1487106308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 927",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006810927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SEA VIEW BG3",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "00623",
            "telephone_number": "787-248-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTIVE MED OF PR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-28",
        "status": "A",
        "authorized_official_last_name": "RUIZ RIOS",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "787-248-2821"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eva I Pesante, R.PH.
• PHM Multidisciplinary Clinic Cabo Rojo LLC
• PHM Multidisciplinary Clinic LLC
• PHM Multidisciplinary Clinic LLC (PHM Multisalud Cabo Rojo)
• Luis I Pineiro Montalvo, M.D.
• Primary MD Services LLC
• Pro Life Emergency Transport LLC
• Carlos F. Quinones Bodega, MD
• Maria Teresa Quinones, MD
• Juan Gabriel Ramirez Pagan, MD

• General Practice Physician in Cabo Rojo, PR
• Providers in Cabo Rojo, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; 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.