Organization Active NPI

Medical Commnad PRNG

  • Skilled Nursing Facility
  • Aguirre, PR
National Provider Identifier
1497837215
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
12850 Issued in PR
Legal business name
MEDICAL COMMNAD PRNG
Practice address
Urb Estancia la Trinitaria Geranio # 896
Aguirre, PR 00704
Phone
(787) 774-3344
Fax
(787) 774-6250
NPI assigned
Oct 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Osvaldo Ivan Rivera, BSN, MPH
Title
Medical Sugical Nurse
Phone
(787) 774-3344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 12850 PR Primary

Addresses

Primary practice location

Urb Estancia la Trinitaria Geranio # 896
Aguirre, PR 00704

Mailing address

Urb Estancia la Trinitaria Geranio # 896
Aguirre, PR 00704
Phone (787) 774-3344

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497837215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB ESTANCIA LA TRINITARIA GERANIO # 896",
            "city": "AGUIRRE",
            "state": "PR",
            "postal_code": "00704",
            "telephone_number": "787-774-3344",
            "fax_number": "787-774-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB ESTANCIA LA TRINITARIA GERANIO # 896",
            "city": "AGUIRRE",
            "state": "PR",
            "postal_code": "00704",
            "telephone_number": "787-774-3344",
            "fax_number": "787-774-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL COMMNAD PRNG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "OSVALDO",
        "authorized_official_middle_name": "IVAN",
        "authorized_official_title_or_position": "MEDICAL SUGICAL NURSE",
        "authorized_official_telephone_number": "787-774-3344",
        "authorized_official_credential": "BSN, MPH"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PR",
            "license": "12850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguirre, 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.