Puerto Rico Mind and Body Health CSP

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PUERTO RICO MIND AND BODY HEALTH CSP

Practice address

187 Ave Los Atleticos
Edif Rali 104
San German, PR 00683

Phone

(787) 470-9444

Fax

(787) 659-7260

NPI assigned

Dec 7, 2018

Last updated

Dec 7, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Yussel Garcia Amador, MDNPI 1720228836

Title

President

Phone

(787) 647-0889

Specialties & licenses 1

Addresses

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.

• Yussel C Garcia-Amador, M.D.

  • Internal Medicine Physician
  • San German, PR
  • NPI 1720228836
  NPD (past) Authorized official

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

{
    "created_epoch": "1544140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544140800000",
    "number": "1568933117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1553",
            "city": "HORMIGUEROS",
            "state": "PR",
            "postal_code": "006605553",
            "telephone_number": "787-470-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 AVE LOS ATLETICOS",
            "address_2": "EDIF RALI 104",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-470-9444",
            "fax_number": "787-659-7260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUERTO RICO MIND AND BODY HEALTH CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-07",
        "last_updated": "2018-12-07",
        "status": "A",
        "authorized_official_last_name": "GARCIA AMADOR",
        "authorized_official_first_name": "YUSSEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-647-0889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Positive Minds Psychotherapy Institute PSC
• Pro Health Medical Supply
• Pro Vision Optical LLC
• Progressive Network, LLC.
• Puerto Rico Inmunization Services
• Q-Med Equipment Enterprises, Inc.
• Alicia Quinones Acevedo, M.D.
• Emi L Quinones, OD
• Sheila I Quinones, PSY.D.
• Walesca Quinones, M.D.

• Internal Medicine Physician in San German, PR
• Providers in San German, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; 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.