Organization Active NPI

Primary Health Center, PSC

  • General Practice Physician
  • Moca, PR
National Provider Identifier
1497318364
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PRIMARY HEALTH CENTER, PSC
Practice address
154 Calle Barbosa
Moca, PR 00676
Phone
(787) 818-2866
Fax
(787) 551-7038
NPI assigned
Apr 17, 2019
Organization subpart
Yes
Parent organization
PRIMARY HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Authorized official

Name
Lourdes Mercado Torres, MD
Title
President
Phone
(787) 675-0754

Specialties & licenses 1

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

Addresses

Primary practice location

154 Calle Barbosa
Moca, PR 00676

Mailing address

PO Box 117
Isabela, PR 00662-0117
Phone (787) 818-2866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220622001418 PR Part B Supplier - Clinic/Group Practice 8527447515 Receives reassigned benefits from 1 practitioner
Practice locations: Moca, PR

National Provider Directory

National Provider Directory
Part of
Primary Health Center PSC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1497318364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006620117",
            "telephone_number": "787-818-2866",
            "fax_number": "787-551-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 CALLE BARBOSA",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "00676",
            "telephone_number": "787-818-2866",
            "fax_number": "787-551-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY HEALTH CENTER, PSC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIMARY HEALTH CENTER",
        "enumeration_date": "2019-04-17",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_middle_name": "MERCADO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-675-0754",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moca, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.