NPIMap

Organization Active NPI

Basic Medical Group,Inc

  • Health Service Clinic/Center
  • San Juan, PR
National Provider Identifier
1508072208
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
BASIC MEDICAL GROUP,INC
Practice address
Avenida Munoz Rivera
Parada 31
San Juan, PR 00917
Phone
(787) 751-8757
Fax
(787) 751-8757
NPI assigned
May 16, 2007
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
Dr. Luz C. Castellano, M.D.
Title
Presidente
Phone
(787) 751-8758

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

Avenida Munoz Rivera
Parada 31
San Juan, PR 00917

Mailing address

Avenida Munoz Rivera
Parada 31
Hato Rey, PR 00917
Phone (787) 751-8757

Other identifiers 2

IdentifierTypeStateIssuer
7321OtherPRAMERICAN HEALTH
5830191251OtherPRCLASSICARE

Other names 1

  • BASIC MEDICAL GROUP,INC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Advancer Local Development3 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": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508072208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVENIDA MUNOZ RIVERA",
            "address_2": "PARADA 31",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "00917",
            "telephone_number": "787-751-8757",
            "fax_number": "787-751-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENIDA MUNOZ RIVERA",
            "address_2": "PARADA 31",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00917",
            "telephone_number": "787-751-8757",
            "fax_number": "787-751-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASIC MEDICAL GROUP,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CASTELLANO",
        "authorized_official_first_name": "LUZ",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-751-8758",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH",
            "identifier": "7321",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLASSICARE",
            "identifier": "5830191251",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BASIC MEDICAL GROUP,INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 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.