Active NPI
Inovative Medicalgroupinc
- Health Maintenance Organization
- San Juan, PR
National Provider Identifier
1487946174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- 2846
- Legal business name
- INOVATIVE MEDICALGROUPINC
- Practice address
- Boulervard del Rio #2
San Juan, PR 00928-5129 - Phone
- (787) 429-4407
- NPI assigned
- May 12, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jose M Lopez, MD
- Title
- Presidente
- Phone
- (787) 429-4407
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | 2846 | PR | Primary |
Addresses
Primary practice location
Boulervard del Rio #2
San Juan, PR 00928-5129
Mailing address
PO Box 25129
San Juan, PR 00928-5129
Other names 1
- ready clinic medical services
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- San Juan, PR
- NPI 1518841022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1305158400000",
"number": "1487946174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25129",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009285129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BOULERVARD DEL RIO #2",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009285129",
"telephone_number": "787-429-4407"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INOVATIVE MEDICALGROUPINC",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-12",
"last_updated": "2011-05-12",
"status": "A",
"authorized_official_last_name": "LOPEZ",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENTE",
"authorized_official_telephone_number": "787-429-4407",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "PR",
"license": "2846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ready clinic medical services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.