NPIMap

Organization Active NPI

Avg Medical Service CSP

  • Primary Care Clinic/Center
  • Naguabo, PR
National Provider Identifier
1609417039
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
AVG MEDICAL SERVICE CSP
Practice address
107 Bo Mariana
Naguabo, PR 00718
Phone
(787) 375-7512
NPI assigned
Oct 7, 2019
Last updated
Oct 7, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Authorized official

Name
Dr. Abner Valentin GonzalezNPI 1386049138
Title
President
Phone
(787) 375-7512

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

107 Bo Mariana
Naguabo, PR 00718

Mailing address

PO Box 10028
Humacao, PR 00792-1028
Phone (787) 375-7512

National Provider Directory

National Provider Directory

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": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570406400000",
    "number": "1609417039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10028",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007921028",
            "telephone_number": "787-375-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 BO MARIANA",
            "city": "NAGUABO",
            "state": "PR",
            "postal_code": "00718",
            "telephone_number": "787-375-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVG MEDICAL SERVICE CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-10-07",
        "status": "A",
        "authorized_official_last_name": "VALENTIN GONZALEZ",
        "authorized_official_first_name": "ABNER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-375-7512",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naguabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.