Organization Active NPI

Clinica de Medicina Interna PR LLC

  • Primary Care Clinic/Center
  • Bayamon, PR
National Provider Identifier
1609652973
Registry record updated Sep 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CLINICA DE MEDICINA INTERNA PR LLC
Practice address
E50 Calle Marginal
Bayamon, PR 00959-5513
Phone
(787) 675-1010
NPI assigned
Sep 4, 2023
Last updated
Sep 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2023

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

Authorized official

Name
Dr. Marielle Sanchez Rodriguez, MD
Title
President
Phone
(787) 675-1010

Specialties & licenses 1

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

Addresses

Primary practice location

E50 Calle Marginal
Bayamon, PR 00959-5513

Mailing address

PO Box 2117
Bayamon, PR 00960-2117
Phone (787) 675-1010

National Provider Directory

National Provider Directory

Locations

E50 Calle Marginal
Bayamon, PR 00959
Phone (787) 675-1010

NPI Registry JSON

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693785600000",
    "number": "1609652973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2117",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009602117",
            "telephone_number": "787-675-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E50 CALLE MARGINAL",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009595513",
            "telephone_number": "787-675-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DE MEDICINA INTERNA PR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-03",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ RODRIGUEZ",
        "authorized_official_first_name": "MARIELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-675-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; 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.