NPIMap

Organization Active NPI

Professional Medical Center

  • Emergency Care Clinic/Center
  • Gurabo, PR
National Provider Identifier
1497168124
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
License
16022 Issued in PR
Legal business name
PROFESSIONAL MEDICAL CENTER
Practice address
Carr. 931 KM 5.5
Praderas Shopping Center
Gurabo, PR 00778
Phone
(787) 743-1985
Fax
(787) 744-6276
NPI assigned
Jun 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Authorized official

Name
Dr. Julio D Cordero Sepulveda, MD
Title
President
Phone
(787) 743-1985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X 16022 PR Primary

Addresses

Primary practice location

Carr. 931 KM 5.5
Praderas Shopping Center
Gurabo, PR 00778

Mailing address

698 Veredas Los Cedros
Urb. Veredas de Navarro
Gurabo, PR 00778-6098
Phone (787) 743-1985

Other identifiers 1

IdentifierTypeStateIssuer
332572OtherPRREGISTER NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Professional Medical Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1497168124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "698 VEREDAS LOS CEDROS",
            "address_2": "URB. VEREDAS DE NAVARRO",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007786098",
            "telephone_number": "787-743-1985",
            "fax_number": "787-744-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 931 KM 5.5",
            "address_2": "PRADERAS SHOPPING CENTER",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "00778",
            "telephone_number": "787-743-1985",
            "fax_number": "787-744-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "CORDERO SEPULVEDA",
        "authorized_official_first_name": "JULIO",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-743-1985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "PR",
            "license": "16022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTER NUMBER",
            "identifier": "332572",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.