NPIMap

Organization Active NPI

Grupo Exclusivo Medico Asociado del Sur

  • Internal Medicine Physician
  • Yauco, PR
National Provider Identifier
1568680981
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GRUPO EXCLUSIVO MEDICO ASOCIADO DEL SUR
Practice address
40 Calle 25 de Julio
Yauco, PR 00698-3601
Phone
(787) 267-2811
Fax
(787) 267-1964
NPI assigned
Apr 23, 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. Juan C Velasco-Cervilla, MDNPI 1659305225
Title
Secretary
Phone
(787) 267-2811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

40 Calle 25 de Julio
Yauco, PR 00698-3601

Mailing address

PO Box 3004
Yauco, PR 00698-3004
Phone (787) 267-2811

Other names 1

  • GEMAS Other name

National Provider Directory

National Provider Directory

Locations

40 Calle 25 de Julio
Yauco, PR 00698
Phone (787) 267-2811

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568680981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3004",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006983004",
            "telephone_number": "787-267-2811",
            "fax_number": "787-267-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CALLE 25 DE JULIO",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006983601",
            "telephone_number": "787-267-2811",
            "fax_number": "787-267-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUPO EXCLUSIVO MEDICO ASOCIADO DEL SUR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VELASCO-CERVILLA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "787-267-2811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GEMAS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Yauco, 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.