Instituto de Medicina Preventiva LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

INSTITUTO DE MEDICINA PREVENTIVA LLC

Practice address

113 Calle Maginal Monte Carlo
Vega Baja, PR 00693

Phone

(787) 807-7178

NPI assigned

Feb 23, 2018

Organization subpart

No

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

Authorized official

Name

Nancy M Echevarria-Rivera, ADMINISTRATOR

Title

Member

Phone

(787) 807-7178

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 2

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

• Rafael Omar Rodriguez Jr., MD

  • General Practice Physician
  • San Juan, PR
  • NPI 1790240521
  Medicare reassignment NPD
• Rafael O. Rodriguez Vazquez, M.D.

  • General Practice Physician
  • Vega Baja, PR
  • NPI 1841276151
  Medicare reassignment

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548028800000",
    "number": "1508367772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2710",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006942710",
            "telephone_number": "787-807-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 CALLE MAGINAL MONTE CARLO",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00693",
            "telephone_number": "787-807-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTO DE MEDICINA PREVENTIVA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-23",
        "last_updated": "2019-01-21",
        "status": "A",
        "authorized_official_last_name": "ECHEVARRIA-RIVERA",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "787-807-7178",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julianys Hernandez
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• Hospicio Divino Salvador, Inc.
• Innovative Hospitalist Medicine Care, Inc.
• Innovative Imaging Solutions LLC
• Instituto Medico del Norte Inc
• Instituto Medico del Norte Inc
• Interbus, Corp
• International Medical Equipment
• International Medical Transport, Corp

• General Practice Physician in Vega Baja, PR
• Providers in Vega Baja, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; 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.