Organization Active NPI

Medicina Integral Y Preventiva Inc.

  • General Practice Physician
  • Hormigueros, PR
National Provider Identifier
1487865382
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14386 Issued in PR
Legal business name
MEDICINA INTEGRAL Y PREVENTIVA INC.
Practice address
Plaza Constancia Piso 2 Carr. #2
Hormigueros, PR 00660
Phone
(787) 849-3845
Fax
(787) 849-3845
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Guillermo Pagan Calo, M.D.
Title
Medicine Doctor
Phone
(787) 849-3845

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X 14386 PR Primary

Addresses

Primary practice location

Plaza Constancia Piso 2 Carr. #2
Hormigueros, PR 00660

Mailing address

PMB 154 P.O.Box 5103
Cabo Rojo, PR 00623
Phone (787) 849-3845

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487865382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 154 P.O.BOX 5103",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "00623",
            "telephone_number": "787-849-3845",
            "fax_number": "787-849-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA CONSTANCIA PISO 2 CARR. #2",
            "city": "HORMIGUEROS",
            "state": "PR",
            "postal_code": "00660",
            "telephone_number": "787-849-3845",
            "fax_number": "787-849-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINA INTEGRAL Y PREVENTIVA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAGAN CALO",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_title_or_position": "MEDICINE DOCTOR",
        "authorized_official_telephone_number": "787-849-3845",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "14386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hormigueros, PR

Sources for this page

  • 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.