Sergio Chevere Mourino, M.D.

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

8150 Issued in PR

Practice address

607 Calle Ferrocarril
Esq. Torres
Ponce, PR 00717

Phone

(787) 844-0331

Fax

(787) 840-8874

NPI assigned

Jan 26, 2006

Last updated

Feb 2, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Geriatric Medicine

Education

Ponce School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Medical Group CSPGroup PAC ID 4385556083, 4 clinicians

Primary Medical Center IncGroup PAC ID 5890001630, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Primary Medical Center Inc

  • Specialist
  • Ponce, PR
  • NPI 1417927898

  Geriatric Medicine

  Medicare reassignment Care Compare group NPD
• Primary Medical Group,C.S.P.

  • Family Medicine Physician
  • Ponce, PR
  • NPI 1174593545

  Geriatric Medicine

  Medicare reassignment Care Compare group NPD
• Primary Medical Center, Inc

  • Radiology Clinic/Center
  • Ponce, PR
  • NPI 1598390114
  NPD Authorized official
• Primary Medical Center, Inc

  • Emergency Care Clinic/Center
  • Ponce, PR
  • NPI 1023574282
  Authorized official Same address or phone
• Primary Medical Center, Inc

  • Ambulance
  • Ponce, PR
  • NPI 1396524856
  Authorized official Same address or phone
• Primary Medical Center, Inc

  • Clinic/Center
  • Ponce, PR
  • NPI 1407635568
  Authorized official Same address or phone
• Primary Medical Center, Inc

  • Clinical Medical Laboratory
  • Ponce, PR
  • NPI 1831724467
  Authorized official Same address or phone
• Primary Medical Center, Inc

  • Non-emergency Medical Transport (VAN)
  • Ponce, PR
  • NPI 1841072451
  Authorized official Same address or phone
• Primary Medical Group, C.S.P.

  • Clinic/Center
  • Ponce, PR
  • NPI 1104216050
  NPD

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1528038973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 336149",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007336149",
            "telephone_number": "787-844-0331",
            "fax_number": "787-840-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 CALLE FERROCARRIL",
            "address_2": "ESQ. TORRES",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "787-844-0331",
            "fax_number": "787-840-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEVERE MOURINO",
        "first_name": "SERGIO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PR",
            "license": "8150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Domingo Chardon, M.D.
• Sonia Mayuri Sudhir Chavan
• Maria de Begona Chavarri-Arzamendi, M.D.
• German Chaves, M.D.
• Eduardo Chavez
• Chiquirimundi Inc
• Chiquirimundi Medical LLC
• Gustavo Adolfo Christian, BS
• Jacqueline Christian
• Andres Chuecos, INTERNO/MD

• Geriatric Medicine (Family Medicine) Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• Geriatric Medicine (Family Medicine) Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.