Grupo Integrado Medicina Primaria Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GRUPO INTEGRADO MEDICINA PRIMARIA INC

Doing business as

Grupo Integrado Medicina Primaria Ipa

Practice address

Carretera 173 KM 1.1
Avenida Luis Colon Santos
Cidra, PR 00739-1650

Phone

(787) 434-1700

Fax

(787) 434-1715

NPI assigned

Jun 19, 2020

Organization subpart

No

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

Authorized official

Name

Lissette Vazquez Rivera

Title

Director Billing & Collector

Phone

(787) 434-1700

Specialties & licenses 3

Addresses

Other names 1

• GRUPO INTEGRADO MEDICINA PRIMARIA IPA Doing business as

Electronic endpoints 2

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592524800000",
    "number": "1609492248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1650",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007391650",
            "telephone_number": "787-434-1700",
            "fax_number": "787-434-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 173 KM 1.1",
            "address_2": "AVENIDA LUIS COLON SANTOS",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007391650",
            "telephone_number": "787-434-1700",
            "fax_number": "787-434-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUPO INTEGRADO MEDICINA PRIMARIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ RIVERA",
        "authorized_official_first_name": "LISSETTE",
        "authorized_official_title_or_position": "DIRECTOR BILLING & COLLECTOR",
        "authorized_official_telephone_number": "787-434-1700"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lvazquez@mghpr.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "lvazquez@mghpr.org",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "po box 1650 cidra pr 00739-1650",
            "address_1": "Carretera 173 KM 1.1",
            "address_2": "Avenida Luis Colon SAntos",
            "city": "Cidra",
            "state": "PR",
            "country_code": "US",
            "postal_code": "007391650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lvazquez@mghpr.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Carretera 173 KM 1.1",
            "address_2": "Avenida Luis Colon SAntos",
            "city": "Cidra",
            "state": "PR",
            "country_code": "US",
            "postal_code": "007391650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "GRUPO INTEGRADO MEDICINA PRIMARIA IPA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peter Joe Gonzalez, PSY.D
• Richard Graulau Rosario, M.D.
• Martha Grillasca
• Grupo Fisiatrico de Cidra, PSC
• Grupo Integrado Medicina Primaria (Grupo Integrado Medicina Primaria Cidra)
• Grupo Medico Centro Medicina Especializada (Centro Medicina Especializada)
• Grupo Medico Centro Medicina Especilizada
• Grupo Medico de Cidra, Inc.
• Grupo Medico Medicina Especializada
• Grupo Medico Rabanal LLC

• Family Medicine Physician in Cidra, PR
• Providers in Cidra, PR by specialty
• Family Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.